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NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013 2013 N.C. Healthcare‐Associated Infections Prevention Program N.C. Communicable Disease Branch Healthcare‐Associated Infections in North Carolina Quarterly Report – January 2013 Healthcare Provider Version N.C. Department of Health and Human Services NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013 i Introduction The U.S. Centers for Disease Control and Prevention (CDC) estimates that 5 percent of all hospital admissions result in a healthcare‐associated infection, culminating in approximately 1.7 million infections and 99,000 deaths each year1 as well as $28–33 billion in excess costs.2 In North Carolina, approximately 33,000 individuals contract healthcare‐associated infections in acute care hospitals each year, resulting in approximate direct costs to facilities ranging from $281 million to $779 million dollars.3 These numbers likely underestimate the true burden of healthcare‐associated infections because they include only a subset of acute care hospitals and healthcare‐associated infections. The prevention of healthcare‐associated infections is a public health priority in North Carolina and is a collaborative effort among the healthcare and public health communities. This January 2013 Healthcare‐Associated Infections Quarterly Report is an important product of this collaboration and represents the first public reporting of healthcare‐associated infections statewide, as required by North Carolina General Statute 130A‐150 and North Carolina Administrative Code Rule 41A .0106. Included in this report is information about infections occurring in North Carolina acute care hospitals during January 1st –June 30th, 2012. Data included in this report are preliminary and subject to change. While this report only includes data from acute care hospitals, other facility types including rehabilitation, long term acute care, and state psychiatric will be added to future reports. These reports will be released on a quarterly basis during the months of January, April, July, and October. The next quarterly report will provide an annual summary of 2012 healthcare‐associated infections in acute care hospitals. This report focuses on three important types of healthcare‐associated infections that may occur while patients are hospitalized: central line‐associated bloodstream infections, catheter‐associated urinary tract infections, and surgical site infections (specifically those following abdominal hysterectomies or colon surgeries). These three types of infections account for a large proportion of illnesses and deaths attributed to healthcare, but they do not represent the full spectrum of healthcare‐associated infections. Information about other types of healthcare‐associated infections ‐ including those caused by methicillin‐resistant Staphylococcus aureus (MRSA) and by Clostridium difficile ‐ will be included in future reports. This report was prepared by the North Carolina Healthcare‐Associated Infections Prevention Team, which is located in the Communicable Disease Branch of the Epidemiology Section of the North Carolina Division of Public Health. The NC Healthcare‐Associated Infections Prevention Program works to eliminate preventable infections in health care settings by: 1. Conducting statewide surveillance for selected HAIs; 1 Klevens RM, Edwards JR, Richards CL, Jr., et al. Estimating health care‐associated infections and deaths in U.S. hospitals, 2002. Public Health Rep. Mar‐Apr 2007;122(2):160‐166. Available at http://www.cdc.gov/hai/burden.html. 2 Scott R. The Direct Medical Costs of Healthcare‐Associated Infections in U.S. Hospitals and the Benefits of Prevention. Internal Report. Division of Healthcare Quality Promotion, National Center for Preparedness, Detection, and Control of Infectious Diseases, Coordinating Center for Infectious Diseases, Centers for Disease Control and Prevention; February 2009. Available at http://www.cdc.gov/hai/burden.html. 3 NC‐DHHS. Estimates for Cost of Healthcare‐Associated Infections (HAIs) in North Carolina Acute Care Hospitals: Report from the Economic Impact Subgroup of the North Carolina Department of Public Health HAI Advisory Group; 2011. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013 ii 2. Providing useful, unbiased information to health care providers and consumers; 3. Promoting and coordinating prevention efforts; and 4. Responding to outbreaks in health care settings. We hope that the information in this report will be useful to providers. Data are intended to provide an understanding of the burden of healthcare‐associated infections in N.C. Furthermore, providers can assess their hospital’s healthcare‐associated infections burden in conjunction with other acute care hospitals. This may help to identify potential resources and opportunities to strengthen their hospitals’ healthcare‐associated infections prevention program. A separate healthcare consumer version is also available at http://epi.publichealth.nc.gov/cd/diseases/hai. We welcome your feedback to improve the usefulness of future reports (nchai@dhhs.nc.gov). For more information on Healthcare‐Associated Infections and the N.C Healthcare‐Associated Infections Prevention Team, please visit http://epi.publichealth.nc.gov/cd/diseases/hai. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013 iii Acknowledgements The North Carolina Healthcare‐Associated Infection Prevention Team would like to acknowledge and thank hospital infection preventionists across the state who work tirelessly to protect patients from infection. They provided the data used to create this report and worked with their hospital colleagues to identify and reconcile any potential problems with the data. The recent successes in fighting healthcare‐associated infections would not have been possible without their continuing efforts, dedication, and collaboration. The Healthcare‐Associated Infection Prevention Team would also like to recognize the contributions of the Healthcare‐Associated Infections Advisory Group members listed in Appendix A. In particular, the team is grateful to the Subgroup on Reporting and Surveillance for their thoughtful feedback on the presentation and content of the Quarterly Reports. Finally, the team would like to acknowledge our partners from the North Carolina Hospital Association (NCHA), the North Carolina Statewide Program for Infection Control and Epidemiology (NC SPICE) and the North Carolina Chapter of the Association for Professionals in Infection Control and Epidemiology (APIC) who have been important leaders and strong supporters of surveillance and prevention programs for healthcare‐associated infections in North Carolina. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013 iv Table of Contents Introduction ................................................................................................................................................................................ i Acknowledgements .............................................................................................................................................................. iii Definitions .................................................................................................................................................................................. v Acronyms ................................................................................................................................................................................. vii I. Surveillance for Healthcare‐Associated Infections in North Carolina ..................................................... 1 II. Overview of the Hospital‐Specific Summary Reports ..................................................................................... 2 Section Overview ............................................................................................................................................................... 2 Section 1 ‐ General Hospital Information ............................................................................................................ 2 Section 2 ‐ Central line‐associated bloodstream infections (CLABSI) ..................................................... 3 Section 3 ‐ Catheter associated urinary tract infections (CAUTI) .............................................................. 5 Section 4 ‐ Surgical site infections (SSI) ............................................................................................................... 6 Section 5 – Commentary from Hospital ................................................................................................................ 7 III. Hospital‐Specific Summary Reports ................................................................................................................. 8 APPENDIX A. N.C. Healthcare‐Associated Infections Advisory Group APPENDIX B. Similarly‐Sized Hospitals in North Carolina, 2011 National Healthcare Safety Network Annual Facility Survey NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013 v Definitions Term Definition ASA Class Anesthesiologist’s pre‐operative assessment of the patient’s physical condition, using the American Society of Anesthesiologists’ (ASA) Classification of Physical Status. 1. Normally healthy patient 2. Patient with mild systemic disease 3. Patient with severe systemic disease that is not incapacitating 4. Patient with an incapacitating systemic disease, constant threat to life 5. Patient not expected to survive for 24 hours with or without the operation Beds The number of staffed beds in a facility or patient care location. This may be different from the number of licensed beds. Catheter days A daily count of the number of patients with an indwelling urinary catheter. For example, one patient with an indwelling catheter in place for two days or two patients with indwelling catheters in place for one day each would both result in two catheter days. This number is used when presenting rates of catheter‐associated urinary tract infections. Catheter‐associated urinary tract infection Urinary tract infection (UTI) that occurs in a patient who had an indwelling urinary catheter in place within the 48‐hour period before the onset of the UTI. Central line A catheter (tube) that doctors place in a large vein in the neck, chest, or groin to give medication or fluids or to collect blood for medical tests. Also known as a central venous catheter. Central line‐associated bloodstream infection A bloodstream infection (BSI) that occurs in a patient who had a central line within the 48‐hour period before the onset of the BSI and is not related to an infection at another site. Central line days A daily count of the number of patients with a central line. For example, one patient with a central line in place for two days or two patients with central lines in place for one day each would both result in two central line days. This number is used when presenting rates of central line‐associated bloodstream infections. Device days A daily count of the number of patients with a specific device (e.g., central line, umbilical catheter, ventilator, or urinary catheter) in the patient care location. Healthcare‐associated infections Healthcare‐associated infections (HAI) are infections caused by a wide variety of common and unusual bacteria, fungi, and viruses during the course of receiving medical care. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013 vi Term Definition Infant An individual ≤ 1 year of age. Intensive care unit A nursing care area that provides intensive observation, diagnosis, and therapeutic procedures for adults and/or children who are critically ill. Also referred to as critical care unit. Medical affiliation Affiliation with a medical school. There are four categories. Major teaching – Hospital is an important part of the teaching program of a medical school and the majority of medical students rotate through multiple clinical services. Graduate – Hospital used by the medical school for graduate training programs only (i.e., residency and/or fellowships). Limited – Hospital used in the medical school’s teaching program to a limited extent. No – Hospital not affiliated with a medical school. Patient days A daily count of the number of patients in the patient care location during a specified time period. Rate Describes the speed with which disease or events occur. Standardized infection ratio A ratio of observed to expected (or predicted) numbers of events that is adjusted for selected risk factors. Surgical site infection Infection that occurs after surgery, in the part of the body where the surgery took place. Urinary catheter A drainage tube that is inserted into the urinary bladder through the urethra, is left in place, and is connected to a closed collection system. Validity (data) The extent to which reported cases of a disease or event correspond accurately to cases of a disease or event in the real world. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013 vii Acronyms APIC Association for Professionals in Infection Control and Epidemiology ASA American Society of Anesthesiologists CAUTI Catheter‐associated urinary tract infection CDC Centers for Disease Control and Prevention CMS Centers for Medicare and Medicaid Services CLABSI Central line‐associated bloodstream infections CDB Communicable Disease Branch CI Confidence interval CCU Critical care unit DHHS Department of Health and Human Services DPH Division of Public Health HAI Healthcare‐associated Infections ICU Intensive care unit NCHA North Carolina Hospital Association NC SPICE North Carolina Statewide Program for Infection Control and Epidemiology NHSN National Healthcare Safety Network NICU Neonatal critical care unit SIR Standardized infection ratio SSI Surgical site infection NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013 1 I. Surveillance for Healthcare‐Associated Infections in North Carolina Healthcare‐associated infections (HAIs) are infections caused by a variety of bacteria, fungi, and viruses while receiving medical care. Hospitals report specific types of HAIs to the North Carolina Division of Public Health. These infections include central line‐associated bloodstream infections (CLABSI), catheter‐associated urinary tract infections (CAUTI), and surgical site infections (SSI) occurring after an abdominal hysterectomy or colon surgery. These infections are only reported for patients in the hospital and not for patients in outpatient settings such as clinics, outpatient surgery centers or dialysis facilities. By North Carolina law, hospital reporting requirements are based on the reporting requirements established by the Centers for Medicare and Medicaid Services (CMS). The first HAI reporting requirement went into effect on January 1, 2012, when acute care hospitals began reporting CLABSIs, CAUTIs, and SSIs. Additional hospital types – long‐term acute care hospitals and rehabilitation hospitals – began reporting CLABSIs and CAUTIs in October 2012; this information will be included in future quarterly reports. In January 2013, acute care hospitals will begin reporting laboratory confirmed bloodstream infections caused by methicillin‐resistant Staphylococcus aureus (MRSA) and infections caused by Clostridium difficile (C. diff). This information will also be included in future quarterly reports. HAI information is entered into the Centers for Disease Control and Prevention’s (CDC) web‐based surveillance system called the National Healthcare Safety Network (NSHN). These data are shared with the N.C. Healthcare‐Associated Infections Prevention Program (HAI Program) within N.C. DPH through an agreement with hospitals that satisfies the reporting requirements of the N.C law. Infections should be reported within 30 days following the end of the month in which they are identified. Additionally, the denominator data such as the number of central line days, catheter days, abdominal hysterectomies, and colon surgeries must also be reported. The N.C. HAI Program works with hospitals on a monthly basis to reconcile their data. At the beginning of each month, a reconciliation report is generated and shared with each hospital. Hospitals are given 30 days from the receipt of the reconciliation report to review and update any errors in NHSN. All data in NHSN are entered and modified by hospitals; the N.C. HAI Program cannot change data in NHSN. To learn more about CLABSIs, CAUTIs, and SSIs, please visit the N.C. Healthcare‐Associated Infections – Facts & Figures website at http://epi.publichealth.nc.gov/cd/hai/figures.html. In addition to information about specific infections, there is a link to the October 2012 Quarterly Report, which contains background information on HAI surveillance in N.C. and detailed information on statistics commonly used to describe and summarize HAIs. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013 2 II. Overview of the Hospital‐Specific Summary Reports The following pages are the hospital‐specific summary reports for healthcare‐associated infections that acute care hospitals reported from January to June, 2012. Data in this report were downloaded from NHSN on December 27, 2012; any changes made to the January‐June data after this date are not reflected in this report. Before reviewing the hospital‐specific summary reports, please read this section which contains helpful information and explanations. Each hospital has a one‐page summary that contains five sections: 1) general hospital information, 2) central line‐associated bloodstream infections (CLABSI), 3) catheter associated urinary tract infections (CAUTI), 4) surgical site infections (SSI), and 5) commentary from the hospital. These sections are described in detail below. Before elaborating on each section, two clarifications about the data need to be made: 1. The data are preliminary. Although efforts were made by hospitals and the N.C. HAI Prevention Program to ensure that the data were accurate and complete, a formal validation of the data has not been performed. Data validation is a process by which data from hospitals are carefully reviewed to ensure that they meet established criteria and standards for reporting. If these criteria and standards are not met, over‐reporting or under‐reporting of infections, device (i.e., central line, catheter) days, and procedures can occur giving a distorted presentation of what is occurring in the hospital. Until data validation is completed, data are preliminary and should be interpreted with caution. Collaboration with partners is anticipated in the coming year to discuss data validation options. 2. The rates of infections are not included in some places. Approximately 25% of reporting hospitals in N.C. are small hospitals with less than 100 beds. These hospitals are likely to have low numbers of denominator data ‐ central line days, catheter days, and surgeries. Calculating rates with small numbers in the denominator can be misleading. Therefore the N.C. HAI Program chose to present only the actual number of infections for units, hospitals, and/or surgeries that did not meet a minimum threshold value for the reporting period; rates are not presented. The minimum threshold numbers for the reporting period are based on CDC recommendations for reporting healthcare‐associated infection data. Central line‐associated bloodstream infections: 50 central line days Catheter‐associated urinary tract infections: 50 catheter days Surgical site infections: 20 surgeries Section Overview Tables and figures from hospital‐specific summary reports have been included in the following sections to provide a pictorial representation of data. These tables and figures do not represent one single hospital and are used as examples to highlight key points. Section 1 – General Hospital Information This section contains general information about the hospital and includes a map of where the hospital (blue “H” icon) is located in N.C. Data in this section are from the NSHN 2011 Annual Hospital Survey. The surveys are completed once a year; the 2012 Annual Hospital Survey will be completed by hospitals in 2013. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013 3 Section 2 – Central line‐associated bloodstream infections (CLABSI) This section of the report includes a table and figure about CLABSIs. CLABSIs are only reported from adult, pediatric, and neonatal intensive care units (ICU) in acute care hospitals. Table 1 summarizes the number of infections, central line days, rates, predicted infections, standardized infection ratios (SIR) and corresponding 95% confidence intervals (95% CI) with interpretation by type of ICU. There may be more than one reporting ICU unit for a given classification of ICU. At the bottom of table is the “YTD Total for Reporting ICUs” that summarizes the year‐to‐date total for the reporting ICUs in the hospital. 1. The rate is the number of CLABSIs divided by the number of central line days multiplied by 1,000 to get “per 1,000 central line days.” If the minimum threshold number of 50 central line days is not met then rates and additional statistics are not calculated. In Table 1, the medical/surgical unit at the hospital only has 28 central line days and therefore the rate, predicted infections, SIR, 95% CI and interpretation are not presented. 2. The predicted number of infections is calculated using CLABSI rates from a standard population during a baseline time period. For CLABSI, the predicted number of infections is based on 2006‐ 2008 NSHN national data. Detailed information on how the predicted number of infections is calculated can be found in the October 2012 Quarterly Report at http://epi.publichealth.nc.gov/cd/hai/figures/hai_oct2012.pdf. 3. The standardized infection ratio (SIR) is calculated by dividing the observed number of infections by the predicted number of infections. An SIR of 1.0 indicates that the number of observed and predicted infections is the same. If the SIR is greater than 1.0, the number of observed infections is greater than the number of predicted infections. If the SIR is less than 1.0, the number of observed infections is less than the number of predicted infections. If the number of predicted infections is less than 1, the SIR is not calculated because the number of central line days is too low to calculate a precise SIR and 95% CI. For example, in Table 1 the predicted NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013 4 number of infections in the pediatric medical/surgical unit is 0.216; therefore the SIR and corresponding 95% CI with interpretation are not presented. 4. The 95% confidence interval (CI) corresponds to the SIR presented in the table. When the number of infections is 0, the lower bound of the 95% CI is not calculated. The 95% CI is a measure of precision; a wide confidence interval indicates an imprecise estimate of the SIR. The 95% CI can also be used for hypothesis testing ‐ that there are no differences in the numbers of observed and predicted infections. If the 95% CI includes the value of 1, then there is no statistically significant difference between the numbers of observed and predicted infections. However, if the 95% CI does not include the value of 1, then there is a statistically significant difference in the number of observed and predicted infections. 5. The column “Interpretation” details the results of the hypothesis testing. If the interpretation is the “Same” then there is no statistically significant difference between the numbers of observed and predicted infections in a unit (or hospital). If the interpretation is “Higher” than the observed number of infections in a unit (or hospital) is significantly higher than predicted. Finally, if the interpretation is “Lower” than the observed number of infections in a unit (or hospital) is significantly lower than predicted. Figure 1 shows the hospital CLABSI rate along with the CLABSI rates of similarly‐sized hospitals and all hospitals in N.C. The categories for “Similarly‐sized Hospitals” are based on total hospital bed counts: less than 100 beds, 100‐199 beds, 200‐399 beds, and 400+ beds. Hospitals that serve as the primary location for medical schools are included in a separate category (primary medical school affiliation). A list of the hospitals in each category can be found in Appendix B. The CLABSI rate for similarly‐sized hospitals was calculated by dividing the sum of all CLABSIs in a category by the sum of all central line days in the same category and multiplying by 1,000. The CLABSI rate for all hospitals in N.C. was calculated by dividing the sum of all CLABSIs in N.C. by the sum of all central line days in N.C and multiplying by 1,000. In addition to the rates, the lower limit and upper limit of the 95% confidence intervals are presented in the figure. In Figure 1, the CLABSI rate in the hospital appears to be lower than that of similarly‐sized hospitals and all hospitals in NC. To test the hypothesis that there are no differences in the hospital rate from NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013 5 similarly‐sized hospitals or all hospitals in N.C., the 95% CIs are examined. If the 95% CIs of two CLABSI rates overlap, then the observed differences in the CLABSI rates are not considered statistically significantly different. However, if the 95% CIs of two CLABSI rates do not overlap, then the CLABSI rates are considered to be statistically significantly different. Note that the 95% CI for the CLABSI rates (Figure 1) are used to test a different hypothesis than the 95% CI for CLABSI SIRs (Table 1). In the example show in Figure 1, the 95% CI of the hospital CLABSI rate is wide and overlaps with the 95% CIs of both similarly‐sized hospitals and all hospitals in NC. Therefore, the conclusion would be that there is no statistically significant difference in the hospital CLABSI rate compared to the CLABSI rate of similarly‐sized hospitals or all hospitals in NC. Section 3 – Catheter associated urinary tract infections (CAUTI) Like the section on CLABSIs, this section includes a table and figure about catheter‐associated urinary tract infections (CAUTI). CAUTIs are only reported from adult and pediatric ICUs in acute care hospitals. The calculations of the statistics in this section are the same as those presented in “Section 2 ‐ Central line‐associated bloodstream infections (CLABSI)”; please refer to that section for more information. The one difference is that the number of predicted CAUTIs is based on the 2009 aggregated NHSN national data. In the example above (Table 2), the hospital CAUTI rate was 0 per 1,000 catheter‐days. The accompanying Figure 2 below displays that the 95% CI is not presented when the rate is 0. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013 6 Section 4 – Surgical site infections (SSI) This section includes a table and two figures about SSIs. Hospitals are required to report SSIs that occur among adults 18 years or older following inpatient abdominal hysterectomies and colon surgeries. Only SSIs that occur at the primary incision site within 30 days of surgery are included in this report. Infections are not included if they occur later or if they involve only the skin or subcutaneous tissue (the layer of tissue directly under the skin). Finally, if patient age or the American Society of Anesthesiologists (ASA) score are missing for a surgery, it is classified as an “incomplete procedure” and not included in the final count of surgeries. The predicted number of SSIs and the SSI SIRs are calculated differently from CLABSI and CAUTI. Details on these calculations can be found in the October 2012 Quarterly Report at http://epi.publichealth.nc.gov/cd/hai/figures/hai_oct2012.pdf. Similar to CLABSI, the baseline period for the calculation of predicted SSIs is the 2006‐2008 NHSN national data. Finally, the SSI SIRs are adjusted for patient age and ASA score. Recall that if the number of procedures (or central line days for CLABSIs or catheter days for CAUTIs) at a hospital does not meet a minimum threshold number, the number of infections and surgeries would be presented but not the rate. For SSIs, the minimum threshold is 20 surgeries for a reporting period. In the example above (Table 3), there were less than 20 abdominal NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013 7 hysterectomies performed. Therefore, the SSI rate for abdominal hysterectomy was not included in the table. In the accompanying Figure 3, the hospital SSI rate and 95% CI are not presented. Section 5 – Commentary from Hospital This section is an opportunity for hospitals to comment on HAIs and infection control activities in their hospital. There is a 690 character limit (including spaces) therefore hospitals may have chosen to provide a link to their hospital website to provide lengthier comments. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013 8 III. Hospital‐Specific Summary Reports Hospital Type: Acute Care Hospital Medical Affiliation: Limited Profit Status: Not for Profit Admissions in 2011: 4,691 Patient Days in 2011: 19,027 Number of Beds: 110 Number of ICU Beds: 10 Infection Preventionists: 1 Medical/surgical 1 405 2.47 0.608 . YTD Total for Reporting ICUs 1 405 2.47 0.608 . Type of ICU Infections Days Rate SIR 95% CI Interpretation Line Predicted Infections Medical/surgical 0 687 0 0.893 . YTD Total for Reporting ICUs 0 687 0 0.893 . Type of ICU Infections Days Rate SIR 95% CI Interpretation Catheter Predicted Infections ARHS-Watauga Medical Center, Boone, Watauga County Abdominal hysterectomy Colon surgery Infections* 0 0 Procedures 5 15 Rate . . Predicted Infections . . SIR** . . 95% CI** Interpretation No comments provided. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days and SIR not presented. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2009. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days and SIR not presented. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Rates and SIRs by Surgery, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. *Infections from deep incisional and/or organ space. **SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 100 inpatient surgeries. Rate not calculated if less than 20 inpatient surgeries were performed and SIR not presented. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 9 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 2 Patient Days in 2011: 46,125 Number of Beds: 238 Number of ICU Beds: 32 Infection Preventionists: 1 Medical/surgical 2 1,260 1.59 1.89 1.058 0.128, 3.823 Same Neonatal Level II/III 0 8 . . . YTD Total for Reporting ICUs 2 1,268 1.58 1.9 1.053 0.127, 3.802 Same Type of ICU Infections Days Rate SIR 95% CI Interpretation Line Predicted Infections Medical/surgical 6 1,512 3.97 1.814 3.308 1.214, 7.199 Higher YTD Total for Reporting ICUs 6 1,512 3.97 1.814 3.308 1.214, 7.199 Higher Type of ICU Infections Days Rate SIR 95% CI Interpretation Catheter Predicted Infections Alamance Regional Medical Center, Burlington, Alamance County Abdominal hysterectomy Colon surgery Infections* 0 0 Procedures 98 60 Rate 0 0 Predicted Infections 1.01 1.89 SIR** 0 0 95% CI** , 3.667 , 1.956 Interpretation Same Same No comments provided. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days and SIR not presented. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2009. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days and SIR not presented. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Rates and SIRs by Surgery, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. *Infections from deep incisional and/or organ space. **SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 100 inpatient surgeries. Rate not calculated if less than 20 inpatient surgeries were performed and SIR not presented. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 10 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 5,780 Patient Days in 2011: 22,562 Number of Beds: 134 Number of ICU Beds: 9 Infection Preventionists: 1 Medical/surgical 0 384 0 0.576 . YTD Total for Reporting ICUs 0 384 0 0.576 . Type of ICU Infections Days Rate SIR 95% CI Interpretation Line Predicted Infections Medical/surgical 1 659 1.52 0.857 . YTD Total for Reporting ICUs 1 659 1.52 0.857 . Type of ICU Infections Days Rate SIR 95% CI Interpretation Catheter Predicted Infections Albemarle Health Authority, Elizabeth City, Pasquotank County Abdominal hysterectomy Colon surgery Infections* 1 1 Procedures 36 40 Rate 2.78 2.5 Predicted Infections 0.40 1.34 SIR** . 0.746 95% CI** 0.019, 4.155 Interpretation Same No comments provided. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days and SIR not presented. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2009. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days and SIR not presented. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Rates and SIRs by Surgery, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. *Infections from deep incisional and/or organ space. **SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 100 inpatient surgeries. Rate not calculated if less than 20 inpatient surgeries were performed and SIR not presented. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 11 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 3,063 Patient Days in 2011: 13,704 Number of Beds: 78 Number of ICU Beds: 12 Infection Preventionists: 1 Medical/surgical 0 197 0 0.296 . YTD Total for Reporting ICUs 0 197 0 0.296 . Type of ICU Infections Days Rate SIR 95% CI Interpretation Line Predicted Infections Medical/surgical 1 579 1.73 0.753 . YTD Total for Reporting ICUs 1 579 1.73 0.753 . Type of ICU Infections Days Rate SIR 95% CI Interpretation Catheter Predicted Infections Annie Penn Hospital, Reidsville, Rockingham County Abdominal hysterectomy Colon surgery Infections* 0 1 Procedures 7 16 Rate . . Predicted Infections . . SIR** . . 95% CI** Interpretation No comments provided. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days and SIR not presented. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2009. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days and SIR not presented. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Rates and SIRs by Surgery, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. *Infections from deep incisional and/or organ space. **SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 100 inpatient surgeries. Rate not calculated if less than 20 inpatient surgeries were performed and SIR not presented. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 12 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 721 Patient Days in 2011: 2,186 Number of Beds: 30 Number of ICU Beds: 0 Infection Preventionists: 1 Anson Community Hospital, Wadesboro, Anson County Abdominal hysterectomy Colon surgery Infections* 0 0 Procedures 0 1 Rate . . Predicted Infections . . SIR** . . 95% CI** Interpretation No comments provided. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals This hospital does not have any reporting intensive care units (ICUs). Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals This hospital does not have any reporting intensive care units (ICUs). Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Rates and SIRs by Surgery, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. *Infections from deep incisional and/or organ space. **SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 100 inpatient surgeries. Rate not calculated if less than 20 inpatient surgeries were performed and SIR not presented. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 13 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 7,306 Patient Days in 2011: 27,411 Number of Beds: 101 Number of ICU Beds: 6 Infection Preventionists: 1 Medical/surgical 0 321 0 0.482 . YTD Total for Reporting ICUs 0 321 0 0.482 . Type of ICU Infections Days Rate SIR 95% CI Interpretation Line Predicted Infections Medical/surgical 0 666 0 0.866 . YTD Total for Reporting ICUs 0 666 0 0.866 . Type of ICU Infections Days Rate SIR 95% CI Interpretation Catheter Predicted Infections Betsy Johnson Regional, Dunn, Harnett County Abdominal hysterectomy Colon surgery Infections* 0 0 Procedures 29 13 Rate 0 . Predicted Infections 0.36 . SIR** . . 95% CI** Interpretation No comments provided. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days and SIR not presented. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2009. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days and SIR not presented. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Rates and SIRs by Surgery, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. *Infections from deep incisional and/or organ space. **SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 100 inpatient surgeries. Rate not calculated if less than 20 inpatient surgeries were performed and SIR not presented. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 14 Hospital Type: Acute Care Hospital Medical Affiliation: Graduate Profit Status: Not for Profit Admissions in 2011: 2,057 Patient Days in 2011: 8,501 Number of Beds: 131 Number of ICU Beds: 10 Infection Preventionists: 1 Medical 0 127 0 0.241 . YTD Total for Reporting ICUs 0 127 0 0.241 . Type of ICU Infections Days Rate SIR 95% CI Interpretation Line Predicted Infections Medical 0 409 0 0.818 . YTD Total for Reporting ICUs 0 409 0 0.818 . Type of ICU Infections Days Rate SIR 95% CI Interpretation Catheter Predicted Infections Blue Ridge Healthcare Hospitals - Valdese Campus, Valdese, Burke County Abdominal hysterectomy Colon surgery Infections* 0 0 Procedures 0 33 Rate . 0 Predicted Infections . 1.00 SIR** . . 95% CI** Interpretation The prevention and reduction of healthcare associated infections is a top priority at Blue Ridge Healthcare Hospitals Valdese. To accomplish this, infection prevention strategies are continually assessed and measures implemented to decrease the risk for infection. These measures are based on evidence based practices and clinical guidelines. A comprehensive program is provided that encompasses patient care and patient safety. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days and SIR not presented. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2009. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days and SIR not presented. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Rates and SIRs by Surgery, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. *Infections from deep incisional and/or organ space. **SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 100 inpatient surgeries. Rate not calculated if less than 20 inpatient surgeries were performed and SIR not presented. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 15 Hospital Type: Acute Care Hospital Medical Affiliation: Graduate Profit Status: Not for Profit Admissions in 2011: 5,931 Patient Days in 2011: 23,517 Number of Beds: 184 Number of ICU Beds: 10 Infection Preventionists: 1 Medical 0 197 0 0.374 . YTD Total for Reporting ICUs 0 197 0 0.374 . Type of ICU Infections Days Rate SIR 95% CI Interpretation Line Predicted Infections Medical 0 676 0 1.352 0 , 2.728 Same YTD Total for Reporting ICUs 0 676 0 1.352 0 , 2.728 Same Type of ICU Infections Days Rate SIR 95% CI Interpretation Catheter Predicted Infections Blue Ridge Healthcare Hospitals, Inc. - Morganton Campus, Morganton, Burke County Abdominal hysterectomy Colon surgery Infections* 0 0 Procedures 10 20 Rate . 0 Predicted Infections . 0.60 SIR** . . 95% CI** Interpretation The prevention and reduction of healthcare associated infections is a top priority at Blue Ridge Healthcare Hospitals Morganton. To accomplish this, infection prevention strategies are continually assessed and measures implemented to decrease the risk for infection. These measures are based on evidence based practices and clinical guidelines. A comprehensive program is provided that encompasses patient care and patient safety. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days and SIR not presented. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2009. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days and SIR not presented. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Rates and SIRs by Surgery, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. *Infections from deep incisional and/or organ space. **SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 100 inpatient surgeries. Rate not calculated if less than 20 inpatient surgeries were performed and SIR not presented. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 16 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 2,183 Patient Days in 2011: 6,661 Number of Beds: 46 Number of ICU Beds: 8 Infection Preventionists: 1 Medical cardiac 0 61 0 0.122 . YTD Total for Reporting ICUs 0 61 0 0.122 . Type of ICU Infections Days Rate SIR 95% CI Interpretation Line Predicted Infections Medical cardiac 1 201 4.98 0.402 . YTD Total for Reporting ICUs 1 201 4.98 0.402 . Type of ICU Infections Days Rate SIR 95% CI Interpretation Catheter Predicted Infections Blue Ridge Regional Hospital, Spruce Pine, Mitchell County Abdominal hysterectomy Colon surgery Infections* 0 0 Procedures 2 3 Rate . . Predicted Infections . . SIR** . . 95% CI** Interpretation No comments provided. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days and SIR not presented. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2009. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days and SIR not presented. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Rates and SIRs by Surgery, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. *Infections from deep incisional and/or organ space. **SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 100 inpatient surgeries. Rate not calculated if less than 20 inpatient surgeries were performed and SIR not presented. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 17 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 3,640 Patient Days in 2011: 11,920 Number of Beds: 60 Number of ICU Beds: 5 Infection Preventionists: 1 Medical 0 167 0 0.317 . YTD Total for Reporting ICUs 0 167 0 0.317 . Type of ICU Infections Days Rate SIR 95% CI Interpretation Line Predicted Infections Medical 0 419 0 0.838 . YTD Total for Reporting ICUs 0 419 0 0.838 . Type of ICU Infections Days Rate SIR 95% CI Interpretation Catheter Predicted Infections Brunswick Community Hospital, Supply, Brunswick County Abdominal hysterectomy Colon surgery Infections* 0 2 Procedures 11 33 Rate . 6.06 Predicted Infections . 1.00 SIR** . 1.994 95% CI** 0.241, 7.203 Interpretation Same No comments provided. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days and SIR not presented. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2009. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days and SIR not presented. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Rates and SIRs by Surgery, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. *Infections from deep incisional and/or organ space. **SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 100 inpatient surgeries. Rate not calculated if less than 20 inpatient surgeries were performed and SIR not presented. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 18 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 4,060 Patient Days in 2011: 18,281 Number of Beds: 110 Number of ICU Beds: 10 Infection Preventionists: 1 Medical/surgical 0 830 0 1.245 0 , 2.963 Same YTD Total for Reporting ICUs 0 830 0 1.245 0 , 2.963 Same Type of ICU Infections Days Rate SIR 95% CI Interpretation Line Predicted Infections Medical/surgical 1 1,107 0.9 1.439 0.695 0.018, 3.872 Same YTD Total for Reporting ICUs 1 1,107 0.9 1.439 0.695 0.018, 3.872 Same Type of ICU Infections Days Rate SIR 95% CI Interpretation Catheter Predicted Infections Caldwell Memorial Hospital, Lenoir, Caldwell County Abdominal hysterectomy Colon surgery Infections* 0 0 Procedures 1 10 Rate . . Predicted Infections . . SIR** . . 95% CI** Interpretation No comments provided. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days and SIR not presented. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2009. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days and SIR not presented. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Rates and SIRs by Surgery, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. *Infections from deep incisional and/or organ space. **SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 100 inpatient surgeries. Rate not calculated if less than 20 inpatient surgeries were performed and SIR not presented. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 19 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 29,287 Patient Days in 2011: 155,939 Number of Beds: 535 Number of ICU Beds: 90 Infection Preventionists: 4 Medical/surgical 2 2,752 0.73 4.128 0.484 0.059, 1.750 Same Neonatal Level II/III 1 522 1.92 1.582 0.632 0.016, 3.522 Same Pediatric medical/surgical 0 180 0 0.54 . Surgical cardiothoracic 1 1,159 0.86 1.623 0.616 0.016, 3.433 Same YTD Total for Reporting ICUs 4 4,613 0.87 7.873 0.508 0.138, 1.301 Same Type of ICU Infections Days Rate SIR 95% CI Interpretation Line Predicted Infections Medical/surgical 6 3,662 1.64 4.761 1.26 0.462, 2.743 Same Pediatric medical/surgical 0 158 0 0.442 . Surgical cardiothoracic 2 1,249 1.6 2.123 0.942 0.114, 3.403 Same YTD Total for Reporting ICUs 8 5,069 1.58 7.326 1.092 0.471, 2.152 Same Type of ICU Infections Days Rate SIR 95% CI Interpretation Catheter Predicted Infections Cape Fear Valley Health System, Fayetteville, Cumberland County Abdominal hysterectomy Colon surgery Infections* 1 1 Procedures 123 140 Rate 0.81 0.71 Predicted Infections 1.49 4.82 SIR** 0.673 0.208 95% CI** 0.017, 3.749 0.005, 1.157 Interpretation Same Lower No comments provided. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days and SIR not presented. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2009. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days and SIR not presented. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Rates and SIRs by Surgery, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. *Infections from deep incisional and/or organ space. **SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 100 inpatient surgeries. Rate not calculated if less than 20 inpatient surgeries were performed and SIR not presented. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 20 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 15,504 Patient Days in 2011: 66,443 Number of Beds: 350 Number of ICU Beds: 33 Infection Preventionists: 3 Medical 0 153 0 0.291 . Medical/surgical 0 884 0 1.326 0 , 2.782 Same Surgical cardiothoracic 1 327 3.06 0.458 . YTD Total for Reporting ICUs 1 1,364 0.73 2.075 0.482 0.012, 2.685 Same Type of ICU Infections Days Rate SIR 95% CI Interpretation Line Predicted Infections Medical 3 306 9.8 0.612 . Medical/surgical 3 1,315 2.28 1.578 1.901 0.392, 5.556 Same Surgical cardiothoracic 3 326 9.2 0.554 . YTD Total for Reporting ICUs 9 1,947 4.62 2.744 3.28 1.500, 6.226 Higher Type of ICU Infections Days Rate SIR 95% CI Interpretation Catheter Predicted Infections CarolinaEast Medical Center, New Bern, Craven County Abdominal hysterectomy Colon surgery Infections* 1 1 Procedures 59 58 Rate 1.69 1.72 Predicted Infections 0.67 1.82 SIR** . 0.549 95% CI** 0.014, 3.058 Interpretation Same The overall healthcare associated infection rates for CarolinaEast are very low. The data for catheter associated urinary tract infections for this time period is not reflective of the overall Infection Prevention practices for our organization. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days and SIR not presented. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2009. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days and SIR not presented. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Rates and SIRs by Surgery, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. *Infections from deep incisional and/or organ space. **SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 100 inpatient surgeries. Rate not calculated if less than 20 inpatient surgeries were performed and SIR not presented. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 21 Hospital Type: Acute Care Hospital Medical Affiliation: Major Profit Status: Not for Profit Admissions in 2011: 52,282 Patient Days in 2011: 271,498 Number of Beds: 880 Number of ICU Beds: 290 Infection Preventionists: 5 Medical 4 2,431 1.65 6.321 0.633 0.172, 1.620 Same Medical cardiac 3 1,110 2.7 2.22 1.351 0.279, 3.949 Same Neonatal Level III 2 4,242 0.47 10.329 0.194 0.023, 0.699 Lower Neurosurgical 4 1,234 3.24 3.085 1.297 0.353, 3.320 Same Pediatric medical/surgical 1 1,581 0.63 4.743 0.211 0.005, 1.175 Same Surgical cardiothoracic 0 1,073 0 1.502 0 , 2.456 Same Trauma 3 2,615 1.15 9.414 0.319 0.066, 0.931 Lower YTD Total for Reporting ICUs 17 14,286 1.19 37.614 0.452 0.263, 0.724 Lower Type of ICU Infections Days Rate SIR 95% CI Interpretation Line Predicted Infections Medical 11 3,498 3.14 8.045 1.367 0.683, 2.446 Same Medical cardiac 7 1,570 4.46 3.14 2.229 0.896, 4.593 Higher Neurosurgical 20 2,642 7.57 11.625 1.72 1.050, 2.657 Higher Pediatric medical/surgical 3 866 3.46 2.425 1.237 0.255, 3.615 Same Surgical cardiothoracic 2 1,103 1.81 1.875 1.067 0.129, 3.853 Same Trauma 9 3,934 2.29 13.376 0.673 0.308, 1.277 Same YTD Total for Reporting ICUs 52 13,613 3.82 40.486 1.284 0.959, 1.684 Higher Type of ICU Infections Days Rate SIR 95% CI Interpretation Catheter Predicted Infections Carolinas Medical Center, Charlotte, Mecklenburg County Abdominal hysterectomy Colon surgery Infections* 1 5 Procedures 378 240 Rate 0.26 2.08 Predicted Infections 3.40 8.28 SIR** 0.294 0.604 95% CI** 0.007, 1.639 0.196, 1.409 Interpretation Same Same The prevention and reduction of healthcare associated infections is a top priority at Carolinas Healthcare System hospitals. To accomplish this, infection prevention strategies are continually assessed and measures implemented to decrease the risk for infection. These measures are based on evidence based practices and clinical guidelines. A comprehensive program is provided that encompasses patient care and patient safety. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days and SIR not presented. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2009. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days and SIR not presented. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Rates and SIRs by Surgery, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. *Infections from deep incisional and/or organ space. **SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 100 inpatient surgeries. Rate not calculated if less than 20 inpatient surgeries were performed and SIR not presented. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 22 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 4,105 Patient Days in 2011: 17,248 Number of Beds: 101 Number of ICU Beds: 10 Infection Preventionists: 1 Medical/surgical 1 299 3.34 0.449 . YTD Total for Reporting ICUs 1 299 3.34 0.449 . Type of ICU Infections Days Rate SIR 95% CI Interpretation Line Predicted Infections Medical/surgical 0 778 0 1.011 0 , 3.649 Same YTD Total for Reporting ICUs 0 778 0 1.011 0 , 3.649 Same Type of ICU Infections Days Rate SIR 95% CI Interpretation Catheter Predicted Infections Carolinas Medical Center - Lincoln, Lincolnton, Lincoln County Abdominal hysterectomy Colon surgery Infections* 0 1 Procedures 23 6 Rate 0 . Predicted Infections 0.22 . SIR** . . 95% CI** Interpretation The prevention and reduction of healthcare associated infections is a top priority at Carolinas Healthcare System hospitals. To accomplish this, infection prevention strategies are continually assessed and measures implemented to decrease the risk for infection. These measures are based on evidence based practices and clinical guidelines. A comprehensive program is provided that encompasses patient care and patient safety. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days and SIR not presented. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2009. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days and SIR not presented. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Rates and SIRs by Surgery, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. *Infections from deep incisional and/or organ space. **SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 100 inpatient surgeries. Rate not calculated if less than 20 inpatient surgeries were performed and SIR not presented. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 23 Hospital Type: Acute Care Hospital Medical Affiliation: Limited Profit Status: Not for Profit Admissions in 2011: 9,264 Patient Days in 2011: 40,462 Number of Beds: 170 Number of ICU Beds: 30 Infection Preventionists: 1 Medical 1 546 1.83 1.037 0.964 0.024, 5.373 Same Medical cardiac 0 293 0 0.586 . Surgical 2 572 3.5 1.316 1.52 0.184, 5.490 Same YTD Total for Reporting ICUs 3 1,411 2.13 2.939 1.021 0.211, 2.983 Same Type of ICU Infections Days Rate SIR 95% CI Interpretation Line Predicted Infections Medical 0 771 0 1.542 0 , 2.392 Same Medical cardiac 2 455 4.4 0.91 . Surgical 1 655 1.53 1.703 0.587 0.015, 3.272 Same YTD Total for Reporting ICUs 3 1,881 1.59 4.155 0.722 0.149, 2.110 Same Type of ICU Infections Days Rate SIR 95% CI Interpretation Catheter Predicted Infections Carolinas Medical Center- Mercy, Charlotte, Mecklenburg County Abdominal hysterectomy Colon surgery Infections* 0 2 Procedures 31 57 Rate 0 3.51 Predicted Infections 0.24 1.80 SIR** . 1.114 95% CI** 0.135, 4.023 Interpretation Same The prevention and reduction of healthcare associated infections is a top priority at Carolinas Healthcare System hospitals. To accomplish this, infection prevention strategies are continually assessed and measures implemented to decrease the risk for infection. These measures are based on evidence based practices and clinical guidelines. A comprehensive program is provided that encompasses patient care and patient safety. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days and SIR not presented. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2009. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days and SIR not presented. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Rates and SIRs by Surgery, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. *Infections from deep incisional and/or organ space. **SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 100 inpatient surgeries. Rate not calculated if less than 20 inpatient surgeries were performed and SIR not presented. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 24 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 24,746 Patient Days in 2011: 106,692 Number of Beds: 435 Number of ICU Beds: 54 Infection Preventionists: 3 Medical/surgical 2 1,346 1.49 2.019 0.991 0.120, 3.578 Same Neonatal Level III 0 549 0 1.248 0 , 2.956 Same Pediatric medical/surgical 0 62 0 0.186 . Surgical cardiothoracic 0 480 0 0.672 . YTD Total for Reporting ICUs 2 2,437 0.82 4.125 0.485 0.059, 1.751 Same Type of ICU Infections Days Rate SIR 95% CI Interpretation Line Predicted Infections Medical/surgical 5 1,990 2.51 2.587 1.933 0.628, 4.510 Same Pediatric medical/surgical 0 53 0 0.148 . Surgical cardiothoracic 1 851 1.18 1.447 0.691 0.017, 3.850 Same YTD Total for Reporting ICUs 6 2,894 2.07 4.182 1.435 0.527, 3.123 Same Type of ICU Infections Days Rate SIR 95% CI Interpretation Catheter Predicted Infections Carolinas Medical Center - Northeast, Concord, Cabarrus County Abdominal hysterectomy Colon surgery Infections* 1 0 Procedures 176 116 Rate 0.57 0 Predicted Infections 1.67 3.76 SIR** 0.6 0 95% CI** 0.015, 3.340 , 0.980 Interpretation Same Lower The prevention and reduction of healthcare associated infections is a top priority at Carolinas Healthcare System hospitals. To accomplish this, infection prevention strategies are continually assessed and measures implemented to decrease the risk for infection. These measures are based on evidence based practices and clinical guidelines. A comprehensive program is provided that encompasses patient care and patient safety. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days and SIR not presented. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2009. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days and SIR not presented. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Rates and SIRs by Surgery, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. *Infections from deep incisional and/or organ space. **SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 100 inpatient surgeries. Rate not calculated if less than 20 inpatient surgeries were performed and SIR not presented. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 25 Hospital Type: Acute Care Hospital Medical Affiliation: Limited Profit Status: Not for Profit Admissions in 2011: 10,863 Patient Days in 2011: 39,353 Number of Beds: 109 Number of ICU Beds: 8 Infection Preventionists: 1 Medical 1 638 1.57 1.212 0.825 0.021, 4.597 Same Neonatal Level II/III 0 71 0 0.112 . Surgical 0 102 0 0.235 . YTD Total for Reporting ICUs 1 811 1.23 1.559 0.641 0.016, 3.574 Same Type of ICU Infections Days Rate SIR 95% CI Interpretation Line Predicted Infections Medical 2 1,128 1.77 2.256 0.887 0.107, 3.202 Same Surgical 0 86 0 0.224 . YTD Total for Reporting ICUs 2 1,214 1.65 2.48 0.806 0.098, 2.913 Same Type of ICU Infections Days Rate SIR 95% CI Interpretation Catheter Predicted Infections Carolinas Medical Center- Pineville, Charlotte, Mecklenburg County Abdominal hysterectomy Colon surgery Infections* 0 3 Procedures 139 58 Rate 0 5.17 Predicted Infections 1.20 1.84 SIR** 0 1.629 95% CI** , 3.072 0.336, 4.760 Interpretation Same Same The prevention and reduction of healthcare associated infections is a top priority at Carolinas Healthcare System hospitals. To accomplish this, infection prevention strategies are continually assessed and measures implemented to decrease the risk for infection. These measures are based on evidence based practices and clinical guidelines. A comprehensive program is provided that encompasses patient care and patient safety. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days and SIR not presented. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2009. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days and SIR not presented. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Rates and SIRs by Surgery, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. *Infections from deep incisional and/or organ space. **SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 100 inpatient surgeries. Rate not calculated if less than 20 inpatient surgeries were performed and SIR not presented. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 26 Hospital Type: Acute Care Hospital Medical Affiliation: Limited Profit Status: Not for Profit Admissions in 2011: 9,602 Patient Days in 2011: 40,252 Number of Beds: 165 Number of ICU Beds: 14 Infection Preventionists: 2 Medical/surgical 1 673 1.49 1.01 0.99 0.025, 5.516 Same YTD Total for Reporting ICUs 1 673 1.49 1.01 0.99 0.025, 5.516 Same Type of ICU Infections Days Rate SIR 95% CI Interpretation Line Predicted Infections Medical/surgical 0 1,165 0 1.515 0 , 2.435 Same YTD Total for Reporting ICUs 0 1,165 0 1.515 0 , 2.435 Same Type of ICU Infections Days Rate SIR 95% CI Interpretation Catheter Predicted Infections Carolinas Medical Center - Union, Monroe, Union County Abdominal hysterectomy Colon surgery Infections* 1 0 Procedures 39 29 Rate 2.56 0 Predicted Infections 0.35 0.92 SIR** . . 95% CI** Interpretation The prevention and reduction of healthcare associated infections is a top priority at Carolinas Healthcare System hospitals. To accomplish this, infection prevention strategies are continually assessed and measures implemented to decrease the risk for infection. These measures are based on evidence based practices and clinical guidelines. A comprehensive program is provided that encompasses patient care and patient safety. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days and SIR not presented. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2009. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days and SIR not presented. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Rates and SIRs by Surgery, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. *Infections from deep incisional and/or organ space. **SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 100 inpatient surgeries. Rate not calculated if less than 20 inpatient surgeries were performed and SIR not presented. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 27 Hospital Type: Acute Care Hospital Medical Affiliation: Limited Profit Status: Not for Profit Admissions in 2011: 7,399 Patient Days in 2011: 23,883 Number of Beds: 130 Number of ICU Beds: 8 Infection Preventionists: 1 Medical/surgical 0 538 0 0.807 . Neonatal Level II/III 0 42 . . . YTD Total for Reporting ICUs 0 580 0 0.88 . Type of ICU Infections Days Rate SIR 95% CI Interpretation Line Predicted Infections Medical/surgical 4 756 5.29 0.983 . YTD Total for Reporting ICUs 4 756 5.29 0.983 . Type of ICU Infections Days Rate SIR 95% CI Interpretation Catheter Predicted Infections Carolinas Medical Center- University, Charlotte, Mecklenburg County Abdominal hysterectomy Colon surgery Infections* 1 0 Procedures 47 33 Rate 2.13 0 Predicted Infections 0.40 1.07 SIR** . 0 95% CI** , 3.441 Interpretation Same The prevention and reduction of healthcare associated infections is a top priority at Carolinas Healthcare System hospitals. To accomplish this, infection prevention strategies are continually assessed and measures implemented to decrease the risk for infection. These measures are based on evidence based practices and clinical guidelines. A comprehensive program is provided that encompasses patient care and patient safety. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days and SIR not presented. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2009. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days and SIR not presented. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Rates and SIRs by Surgery, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. *Infections from deep incisional and/or organ space. **SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 100 inpatient surgeries. Rate not calculated if less than 20 inpatient surgeries were performed and SIR not presented. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 28 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 6,980 Patient Days in 2011: 24,561 Number of Beds: 135 Number of ICU Beds: 8 Infection Preventionists: 2 Medical/surgical 1 225 4.44 0.338 . YTD Total for Reporting ICUs 1 225 4.44 0.338 . Type of ICU Infections Days Rate SIR 95% CI Interpretation Line Predicted Infections Medical/surgical 1 601 1.66 0.781 . YTD Total for Reporting ICUs 1 601 1.66 0.781 . Type of ICU Infections Days Rate SIR 95% CI Interpretation Catheter Predicted Infections Carteret General Hospital, Morehead City, Carteret County Abdominal hysterectomy Colon surgery Infections* 0 1 Procedures 18 36 Rate . 2.78 Predicted Infections . 1.16 SIR** . 0.861 95% CI** 0.022, 4.799 Interpretation Same No comments provided. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days and SIR not presented. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2009. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days and SIR not presented. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Rates and SIRs by Surgery, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. *Infections from deep incisional and/or organ space. **SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 100 inpatient surgeries. Rate not calculated if less than 20 inpatient surgeries were performed and SIR not presented. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 29 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 11,668 Patient Days in 2011: 48,263 Number of Beds: 200 Number of ICU Beds: 28 Infection Preventionists: 2 Medical/surgical 1 899 1.11 1.349 0.741 0.019, 4.130 Same Neonatal Level II/III 1 335 2.99 0.899 . YTD Total for Reporting ICUs 2 1,234 1.62 2.248 0.89 0.108, 3.214 Same Type of ICU Infections Days Rate SIR 95% CI Interpretation Line Predicted Infections Medical/surgical 2 1,412 1.42 1.694 1.181 0.143, 4.265 Same YTD Total for Reporting ICUs 2 1,412 1.42 1.694 1.181 0.143, 4.265 Same Type of ICU Infections Days Rate SIR 95% CI Interpretation Catheter Predicted Infections Catawba Valley Medical Center, Hickory, Catawba County Abdominal hysterectomy Colon surgery Infections* 0 2 Procedures 42 53 Rate 0 3.77 Predicted Infections 0.39 1.72 SIR** . 1.161 95% CI** 0.141, 4.193 Interpretation Same No comments provided. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days and SIR not presented. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2009. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days and SIR not presented. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Rates and SIRs by Surgery, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. *Infections from deep incisional and/or organ space. **SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 100 inpatient surgeries. Rate not calculated if less than 20 inpatient surgeries were performed and SIR not presented. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 30 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: For Profit Admissions in 2011: 465 Patient Days in 2011: 1,654 Number of Beds: 112 Number of ICU Beds: 8 Infection Preventionists: 1 Medical/surgical 0 484 0 0.726 . YTD Total for Reporting ICUs 0 484 0 0.726 . Type of ICU Infections Days Rate SIR 95% CI Interpretation Line Predicted Infections Medical/surgical 0 557 0 0.724 . YTD Total for Reporting ICUs 0 557 0 0.724 . Type of ICU Infections Days Rate SIR 95% CI Interpretation Catheter Predicted Infections Central Carolina Hospital, Sanford, Lee County Abdominal hysterectomy Colon surgery Infections* 0 0 Procedures 24 33 Rate 0 0 Predicted Infections 0.25 1.04 SIR** . 0 95% CI** , 3.547 Interpretation Same No comments provided. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days and SIR not presented. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2009. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days and SIR not presented. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Rates and SIRs by Surgery, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. *Infections from deep incisional and/or organ space. **SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 100 inpatient surgeries. Rate not calculated if less than 20 inpatient surgeries were performed and SIR not presented. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 31 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 9,772 Patient Days in 2011: 35,345 Number of Beds: 241 Number of ICU Beds: 18 Infection Preventionists: 1 Medical/surgical 0 1,064 0 1.596 0 , 2.311 Same YTD Total for Reporting ICUs 0 1,064 0 1.596 0 , 2.311 Same Type of ICU Infections Days Rate SIR 95% CI Interpretation Line Predicted Infections Medical/surgical 2 1,863 1.07 2.236 0.894 0.108, 3.231 Same YTD Total for Reporting ICUs 2 1,863 1.07 2.236 0.894 0.108, 3.231 Same Type of ICU Infections Days Rate SIR 95% CI Interpretation Catheter Predicted Infections Cleveland Regional Medical Center, Shelby, Cleveland County Abdominal hysterectomy Colon surgery Infections* 1 0 Procedures 37 40 Rate 2.7 0 Predicted Infections 0.48 1.29 SIR** . 0 95% CI** , 2.862 Interpretation Same The prevention and reduction of healthcare associated infections is a top priority at Cleveland County Healthcare System hospitals. To accomplish this, infection prevention strategies are continually assessed and measures implemented to decrease the risk for infection. These measures are based on evidence based practices and clinical guidelines. A comprehensive program is provided that encompasses patient care and patient safety. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days and SIR not presented. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2009. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days and SIR not presented. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Rates and SIRs by Surgery, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. *Infections from deep incisional and/or organ space. **SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 100 inpatient surgeries. Rate not calculated if less than 20 inpatient surgeries were performed and SIR not presented. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 32 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 5,759 Patient Days in 2011: 23,894 Number of Beds: 107 Number of ICU Beds: 10 Infection Preventionists: 1 Medical/surgical 0 225 0 0.338 . YTD Total for Reporting ICUs 0 225 0 0.338 . Type of ICU Infections Days Rate SIR 95% CI Interpretation Line Predicted Infections Medical/surgical 0 470 0 0.611 . YTD Total for Reporting ICUs 0 470 0 0.611 . Type of ICU Infections Days Rate SIR 95% CI Interpretation Catheter Predicted Infections Columbus Regional Healthcare System, Whiteville, Columbus County Abdominal hysterectomy Colon surgery Infections* 1 0 Procedures 38 28 Rate 2.63 0 Predicted Infections 0.37 0.96 SIR** . . 95% CI** Interpretation The prevention and reduction of healthcare associated infections is a top priority at Columbus Regional Healthcare System. To accomplish this, infection prevention strategies are continually assessed and measures implemented to decrease the risk for infection. These measures are based on evidence based practices and clinical guidelines. A comprehensive program is provided that encompasses patient care and patient safety. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days and SIR not presented. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2009. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days and SIR not presented. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Rates and SIRs by Surgery, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. *Infections from deep incisional and/or organ space. **SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 100 inpatient surgeries. Rate not calculated if less than 20 inpatient surgeries were performed and SIR not presented. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 33 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: For Profit Admissions in 2011: 4,453 Patient Days in 2011: 22,936 Number of Beds: 143 Number of ICU Beds: 8 Infection Preventionists: 1 Medical cardiac 1 264 3.79 0.528 . YTD Total for Reporting ICUs 1 264 3.79 0.528 . Type of ICU Infections Days Rate SIR 95% CI Interpretation Line Predicted Infections Medical cardiac 1 549 1.82 1.098 0.911 0.023, 5.074 Same YTD Total for Reporting ICUs 1 549 1.82 1.098 0.911 0.023, 5.074 Same Type of ICU Infections Days Rate SIR 95% CI Interpretation Catheter Predicted Infections Davis Regional Medical Center, Statesville, Iredell County Abdominal hysterectomy Colon surgery Infections* 1 1 Procedures 4 9 Rate . . Predicted Infections . . SIR** . . 95% CI** Interpretation No comments provided. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days and SIR not presented. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2009. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days and SIR not presented. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Rates and SIRs by Surgery, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. *Infections from deep incisional and/or organ space. **SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 100 inpatient surgeries. Rate not calculated if less than 20 inpatient surgeries were performed and SIR not presented. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 34 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 7,238 Patient Days in 2011: 36,751 Number of Beds: 148 Number of ICU Beds: 15 Infection Preventionists: 2 Medical/surgical 0 736 0 1.104 0 , 3.341 Same YTD Total for Reporting ICUs 0 736 0 1.104 0 , 3.341 Same Type of ICU Infections Days Rate SIR 95% CI Interpretation Line Predicted Infections Medical/surgical 3 1,237 2.43 1.608 1.866 0.385, 5.452 Same YTD Total for Reporting ICUs 3 1,237 2.43 1.608 1.866 0.385, 5.452 Same Type of ICU Infections Days Rate SIR 95% CI Interpretation Catheter Predicted Infections Duke Raleigh Hospital, Raleigh, Wake County Abdominal hysterectomy Colon surgery Infections* 0 2 Procedures 47 77 Rate 0 2.6 Predicted Infections 0.39 2.57 SIR** . 0.777 95% CI** 0.094, 2.807 Interpretation Same No comments provided. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days and SIR not presented. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2009. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days and SIR not presented. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Rates and SIRs by Surgery, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. *Infections from deep incisional and/or organ space. **SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 100 inpatient surgeries. Rate not calculated if less than 20 inpatient surgeries were performed and SIR not presented. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 35 Hospital Type: Acute Care Hospital Medical Affiliation: Major Profit Status: Not for Profit Admissions in 2011: 31,508 Patient Days in 2011: 246,858 Number of Beds: 812 Number of ICU Beds: 196 Infection Preventionists: 6 Medical 3 2,090 1.44 5.434 0.552 0.114, 1.613 Same Medical cardiac 2 1,515 1.32 3.03 0.66 0.080, 2.384 Same Neonatal Level III 1 3,245 0.31 8.684 0.115 0.003, 0.642 Lower Neurologic 2 1,333 1.5 1.866 1.072 0.130, 3.872 Same Pediatric cardiothoracic 1 1,548 0.65 5.108 0.196 0.005, 1.091 Lower Pediatric medical/surgical 3 1,189 2.52 3.567 0.841 0.173, 2.458 Same Surgical 1 1,543 0.65 3.549 0.282 0.007, 1.570 Same Surgical cardiothoracic 7 2,302 3.04 3.223 2.172 0.873, 4.475 Higher YTD Total for Reporting ICUs 20 14,765 1.35 34.462 0.58 0.354, 0.896 Lower Type of ICU Infections Days Rate SIR 95% CI Interpretation Line Predicted Infections Medical 5 2,075 2.41 4.773 1.048 0.340, 2.445 Same Medical cardiac 5 1,314 3.81 2.628 1.903 0.618, 4.440 Same Neurologic 8 2,225 3.6 8.455 0.946 0.408, 1.864 Same Pediatric cardiothoracic 1 481 2.08 1.299 0.77 0.019, 4.289 Same Pediatric medical/surgical 2 863 2.32 2.416 0.828 0.100, 2.990 Same Surgical 8 1,758 4.55 4.571 1.75 0.756, 3.449 Same Surgical cardiothoracic 4 2,015 1.99 3.426 1.168 0.318, 2.989 Same YTD Total for Reporting ICUs 33 10,731 3.08 27.567 1.197 0.824, 1.681 Same Type of ICU Infections Days Rate SIR 95% CI Interpretation Catheter Predicted Infections Duke University Hospital, Durham, Durham County Abdominal hysterectomy Colon surgery Infections* 0 2 Procedures 179 120 Rate 0 1.67 Predicted Infections 1.66 3.97 SIR** 0 0.504 95% CI** , 2.229 0.061, 1.820 Interpretation Same Same No comments provided. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days and SIR not presented. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2009. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days and SIR not presented. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Rates and SIRs by Surgery, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. *Infections from deep incisional and/or organ space. **SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 100 inpatient surgeries. Rate not calculated if less than 20 inpatient surgeries were performed and SIR not presented. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 36 Hospital Type: Acute Care Hospital Medical Affiliation: Major Profit Status: Not for Profit Admissions in 2011: 13,891 Patient Days in 2011: 73,575 Number of Beds: 202 Number of ICU Beds: 23 Infection Preventionists: 3 Medical/surgical 1 1,667 0.6 3.501 0.286 0.007, 1.591 Same YTD Total for Reporting ICUs 1 1,667 0.6 3.501 0.286 0.007, 1.591 Same Type of ICU Infections Days Rate SIR 95% CI Interpretation Line Predicted Infections Medical/surgical 8 1,843 4.34 4.239 1.887 0.815, 3.719 Same YTD Total for Reporting ICUs 8 1,843 4.34 4.239 1.887 0.815, 3.719 Same Type of ICU Infections Days Rate SIR 95% CI Interpretation Catheter Predicted Infections Durham Regional Hospital, Durham, Durham County Abdominal hysterectomy Colon surgery Infections* 2 1 Procedures 151 61 Rate 1.32 1.64 Predicted Infections 1.28 1.90 SIR** 1.566 0.525 95% CI** 0.190, 5.658 0.013, 2.928 Interpretation Same Same No comments provided. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days and SIR not presented. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2009. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days and SIR not presented. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Rates and SIRs by Surgery, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. *Infections from deep incisional and/or organ space. **SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 100 inpatient surgeries. Rate not calculated if less than 20 inpatient surgeries were performed and SIR not presented. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 37 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 26,995 Patient Days in 2011: 108,631 Number of Beds: 528 Number of ICU Beds: 69 Infection Preventionists: 4 Medical cardiac 0 450 0 0.9 . Medical/surgical 0 1,182 0 1.773 0 , 2.081 Same Neonatal Level III 0 110 0 0.193 . Surgical cardiothoracic 0 625 0 0.875 . YTD Total for Reporting ICUs 0 2,367 0 3.741 0 , 0.986 Lower Type of ICU Infections Days Rate SIR 95% CI Interpretation Line Predicted Infections Medical cardiac 1 720 1.39 1.44 0.694 0.018, 3.869 Same Medical/surgical 2 1,853 1.08 2.231 0.896 0.109, 3.238 Same Surgical cardiothoracic 1 764 1.31 1.299 0.77 0.019, 4.289 Same YTD Total for Reporting ICUs 4 3,337 1.2 4.97 0.805 0.219, 2.061 Same Type of ICU Infections Days Rate SIR 95% CI Interpretation Catheter Predicted Infections FirstHealth Moore Regional Hospital, Pinehurst, Moore County Abdominal hysterectomy Colon surgery Infections* 1 1 Procedures 35 75 Rate 2.86 1.33 Predicted Infections 0.26 2.20 SIR** . 0.455 95% CI** 0.012, 2.535 Interpretation Same Over the past year, FirstHealth has strived to continue to reduce our infections by continuing to educate staff on infection prevention, emphasizing hand hygiene, and following all evidence based practices to reduce infections. We have worked to decrease use of urinary catheters and worked with our operating room to assure all measures are taken to prevent surgical site infections such as appropriate use of antibiotics. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days and SIR not presented. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2009. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days and SIR not presented. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Rates and SIRs by Surgery, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. *Infections from deep incisional and/or organ space. **SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 100 inpatient surgeries. Rate not calculated if less than 20 inpatient surgeries were performed and SIR not presented. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 38 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 45,261 Patient Days in 2011: 232,937 Number of Beds: 906 Number of ICU Beds: 130 Infection Preventionists: 6 Medical 0 53 0 0.101 . Medical cardiac 0 1,160 0 2.32 0 , 1.590 Same Medical/surgical 5 3,471 1.44 5.207 0.96 0.312, 2.241 Same Neonatal Level II/III 2 1,187 1.68 3.467 0.577 0.070, 2.084 Same Neurosurgical 0 478 0 1.195 0 , 3.087 Same Surgical cardiothoracic 1 686 1.46 0.96 . YTD Total for Reporting ICUs 8 7,035 1.14 13.25 0.604 0.261, 1.190 Same Type of ICU Infections Days Rate SIR 95% CI Interpretation Line Predicted Infections Medical 0 107 0 0.214 . Medical cardiac 1 1,546 0.65 3.092 0.323 0.008, 1.802 Same Medical/surgical 9 3,764 2.39 4.517 1.992 0.911, 3.782 Higher Neurosurgical 5 1,028 4.86 4.523 1.105 0.359, 2.580 Same Surgical cardiothoracic 0 783 0 1.331 0 , 2.772 Same YTD Total for Reporting ICUs 15 7,228 2.08 13.677 1.097 0.613, 1.809 Same Type of ICU Infections Days Rate SIR 95% CI Interpretation Catheter Predicted Infections Forsyth Medical Center, Winston Salem, Forsyth County Abdominal hysterectomy Colon surgery Infections* 1 4 Procedures 84 127 Rate 1.19 3.15 Predicted Infections 0.88 4.17 SIR** . 0.959 95% CI** 0.261, 2.454 Interpretation Same No comments provided. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days and SIR not presented. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2009. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000
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Full Text | NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013 2013 N.C. Healthcare‐Associated Infections Prevention Program N.C. Communicable Disease Branch Healthcare‐Associated Infections in North Carolina Quarterly Report – January 2013 Healthcare Provider Version N.C. Department of Health and Human Services NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013 i Introduction The U.S. Centers for Disease Control and Prevention (CDC) estimates that 5 percent of all hospital admissions result in a healthcare‐associated infection, culminating in approximately 1.7 million infections and 99,000 deaths each year1 as well as $28–33 billion in excess costs.2 In North Carolina, approximately 33,000 individuals contract healthcare‐associated infections in acute care hospitals each year, resulting in approximate direct costs to facilities ranging from $281 million to $779 million dollars.3 These numbers likely underestimate the true burden of healthcare‐associated infections because they include only a subset of acute care hospitals and healthcare‐associated infections. The prevention of healthcare‐associated infections is a public health priority in North Carolina and is a collaborative effort among the healthcare and public health communities. This January 2013 Healthcare‐Associated Infections Quarterly Report is an important product of this collaboration and represents the first public reporting of healthcare‐associated infections statewide, as required by North Carolina General Statute 130A‐150 and North Carolina Administrative Code Rule 41A .0106. Included in this report is information about infections occurring in North Carolina acute care hospitals during January 1st –June 30th, 2012. Data included in this report are preliminary and subject to change. While this report only includes data from acute care hospitals, other facility types including rehabilitation, long term acute care, and state psychiatric will be added to future reports. These reports will be released on a quarterly basis during the months of January, April, July, and October. The next quarterly report will provide an annual summary of 2012 healthcare‐associated infections in acute care hospitals. This report focuses on three important types of healthcare‐associated infections that may occur while patients are hospitalized: central line‐associated bloodstream infections, catheter‐associated urinary tract infections, and surgical site infections (specifically those following abdominal hysterectomies or colon surgeries). These three types of infections account for a large proportion of illnesses and deaths attributed to healthcare, but they do not represent the full spectrum of healthcare‐associated infections. Information about other types of healthcare‐associated infections ‐ including those caused by methicillin‐resistant Staphylococcus aureus (MRSA) and by Clostridium difficile ‐ will be included in future reports. This report was prepared by the North Carolina Healthcare‐Associated Infections Prevention Team, which is located in the Communicable Disease Branch of the Epidemiology Section of the North Carolina Division of Public Health. The NC Healthcare‐Associated Infections Prevention Program works to eliminate preventable infections in health care settings by: 1. Conducting statewide surveillance for selected HAIs; 1 Klevens RM, Edwards JR, Richards CL, Jr., et al. Estimating health care‐associated infections and deaths in U.S. hospitals, 2002. Public Health Rep. Mar‐Apr 2007;122(2):160‐166. Available at http://www.cdc.gov/hai/burden.html. 2 Scott R. The Direct Medical Costs of Healthcare‐Associated Infections in U.S. Hospitals and the Benefits of Prevention. Internal Report. Division of Healthcare Quality Promotion, National Center for Preparedness, Detection, and Control of Infectious Diseases, Coordinating Center for Infectious Diseases, Centers for Disease Control and Prevention; February 2009. Available at http://www.cdc.gov/hai/burden.html. 3 NC‐DHHS. Estimates for Cost of Healthcare‐Associated Infections (HAIs) in North Carolina Acute Care Hospitals: Report from the Economic Impact Subgroup of the North Carolina Department of Public Health HAI Advisory Group; 2011. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013 ii 2. Providing useful, unbiased information to health care providers and consumers; 3. Promoting and coordinating prevention efforts; and 4. Responding to outbreaks in health care settings. We hope that the information in this report will be useful to providers. Data are intended to provide an understanding of the burden of healthcare‐associated infections in N.C. Furthermore, providers can assess their hospital’s healthcare‐associated infections burden in conjunction with other acute care hospitals. This may help to identify potential resources and opportunities to strengthen their hospitals’ healthcare‐associated infections prevention program. A separate healthcare consumer version is also available at http://epi.publichealth.nc.gov/cd/diseases/hai. We welcome your feedback to improve the usefulness of future reports (nchai@dhhs.nc.gov). For more information on Healthcare‐Associated Infections and the N.C Healthcare‐Associated Infections Prevention Team, please visit http://epi.publichealth.nc.gov/cd/diseases/hai. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013 iii Acknowledgements The North Carolina Healthcare‐Associated Infection Prevention Team would like to acknowledge and thank hospital infection preventionists across the state who work tirelessly to protect patients from infection. They provided the data used to create this report and worked with their hospital colleagues to identify and reconcile any potential problems with the data. The recent successes in fighting healthcare‐associated infections would not have been possible without their continuing efforts, dedication, and collaboration. The Healthcare‐Associated Infection Prevention Team would also like to recognize the contributions of the Healthcare‐Associated Infections Advisory Group members listed in Appendix A. In particular, the team is grateful to the Subgroup on Reporting and Surveillance for their thoughtful feedback on the presentation and content of the Quarterly Reports. Finally, the team would like to acknowledge our partners from the North Carolina Hospital Association (NCHA), the North Carolina Statewide Program for Infection Control and Epidemiology (NC SPICE) and the North Carolina Chapter of the Association for Professionals in Infection Control and Epidemiology (APIC) who have been important leaders and strong supporters of surveillance and prevention programs for healthcare‐associated infections in North Carolina. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013 iv Table of Contents Introduction ................................................................................................................................................................................ i Acknowledgements .............................................................................................................................................................. iii Definitions .................................................................................................................................................................................. v Acronyms ................................................................................................................................................................................. vii I. Surveillance for Healthcare‐Associated Infections in North Carolina ..................................................... 1 II. Overview of the Hospital‐Specific Summary Reports ..................................................................................... 2 Section Overview ............................................................................................................................................................... 2 Section 1 ‐ General Hospital Information ............................................................................................................ 2 Section 2 ‐ Central line‐associated bloodstream infections (CLABSI) ..................................................... 3 Section 3 ‐ Catheter associated urinary tract infections (CAUTI) .............................................................. 5 Section 4 ‐ Surgical site infections (SSI) ............................................................................................................... 6 Section 5 – Commentary from Hospital ................................................................................................................ 7 III. Hospital‐Specific Summary Reports ................................................................................................................. 8 APPENDIX A. N.C. Healthcare‐Associated Infections Advisory Group APPENDIX B. Similarly‐Sized Hospitals in North Carolina, 2011 National Healthcare Safety Network Annual Facility Survey NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013 v Definitions Term Definition ASA Class Anesthesiologist’s pre‐operative assessment of the patient’s physical condition, using the American Society of Anesthesiologists’ (ASA) Classification of Physical Status. 1. Normally healthy patient 2. Patient with mild systemic disease 3. Patient with severe systemic disease that is not incapacitating 4. Patient with an incapacitating systemic disease, constant threat to life 5. Patient not expected to survive for 24 hours with or without the operation Beds The number of staffed beds in a facility or patient care location. This may be different from the number of licensed beds. Catheter days A daily count of the number of patients with an indwelling urinary catheter. For example, one patient with an indwelling catheter in place for two days or two patients with indwelling catheters in place for one day each would both result in two catheter days. This number is used when presenting rates of catheter‐associated urinary tract infections. Catheter‐associated urinary tract infection Urinary tract infection (UTI) that occurs in a patient who had an indwelling urinary catheter in place within the 48‐hour period before the onset of the UTI. Central line A catheter (tube) that doctors place in a large vein in the neck, chest, or groin to give medication or fluids or to collect blood for medical tests. Also known as a central venous catheter. Central line‐associated bloodstream infection A bloodstream infection (BSI) that occurs in a patient who had a central line within the 48‐hour period before the onset of the BSI and is not related to an infection at another site. Central line days A daily count of the number of patients with a central line. For example, one patient with a central line in place for two days or two patients with central lines in place for one day each would both result in two central line days. This number is used when presenting rates of central line‐associated bloodstream infections. Device days A daily count of the number of patients with a specific device (e.g., central line, umbilical catheter, ventilator, or urinary catheter) in the patient care location. Healthcare‐associated infections Healthcare‐associated infections (HAI) are infections caused by a wide variety of common and unusual bacteria, fungi, and viruses during the course of receiving medical care. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013 vi Term Definition Infant An individual ≤ 1 year of age. Intensive care unit A nursing care area that provides intensive observation, diagnosis, and therapeutic procedures for adults and/or children who are critically ill. Also referred to as critical care unit. Medical affiliation Affiliation with a medical school. There are four categories. Major teaching – Hospital is an important part of the teaching program of a medical school and the majority of medical students rotate through multiple clinical services. Graduate – Hospital used by the medical school for graduate training programs only (i.e., residency and/or fellowships). Limited – Hospital used in the medical school’s teaching program to a limited extent. No – Hospital not affiliated with a medical school. Patient days A daily count of the number of patients in the patient care location during a specified time period. Rate Describes the speed with which disease or events occur. Standardized infection ratio A ratio of observed to expected (or predicted) numbers of events that is adjusted for selected risk factors. Surgical site infection Infection that occurs after surgery, in the part of the body where the surgery took place. Urinary catheter A drainage tube that is inserted into the urinary bladder through the urethra, is left in place, and is connected to a closed collection system. Validity (data) The extent to which reported cases of a disease or event correspond accurately to cases of a disease or event in the real world. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013 vii Acronyms APIC Association for Professionals in Infection Control and Epidemiology ASA American Society of Anesthesiologists CAUTI Catheter‐associated urinary tract infection CDC Centers for Disease Control and Prevention CMS Centers for Medicare and Medicaid Services CLABSI Central line‐associated bloodstream infections CDB Communicable Disease Branch CI Confidence interval CCU Critical care unit DHHS Department of Health and Human Services DPH Division of Public Health HAI Healthcare‐associated Infections ICU Intensive care unit NCHA North Carolina Hospital Association NC SPICE North Carolina Statewide Program for Infection Control and Epidemiology NHSN National Healthcare Safety Network NICU Neonatal critical care unit SIR Standardized infection ratio SSI Surgical site infection NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013 1 I. Surveillance for Healthcare‐Associated Infections in North Carolina Healthcare‐associated infections (HAIs) are infections caused by a variety of bacteria, fungi, and viruses while receiving medical care. Hospitals report specific types of HAIs to the North Carolina Division of Public Health. These infections include central line‐associated bloodstream infections (CLABSI), catheter‐associated urinary tract infections (CAUTI), and surgical site infections (SSI) occurring after an abdominal hysterectomy or colon surgery. These infections are only reported for patients in the hospital and not for patients in outpatient settings such as clinics, outpatient surgery centers or dialysis facilities. By North Carolina law, hospital reporting requirements are based on the reporting requirements established by the Centers for Medicare and Medicaid Services (CMS). The first HAI reporting requirement went into effect on January 1, 2012, when acute care hospitals began reporting CLABSIs, CAUTIs, and SSIs. Additional hospital types – long‐term acute care hospitals and rehabilitation hospitals – began reporting CLABSIs and CAUTIs in October 2012; this information will be included in future quarterly reports. In January 2013, acute care hospitals will begin reporting laboratory confirmed bloodstream infections caused by methicillin‐resistant Staphylococcus aureus (MRSA) and infections caused by Clostridium difficile (C. diff). This information will also be included in future quarterly reports. HAI information is entered into the Centers for Disease Control and Prevention’s (CDC) web‐based surveillance system called the National Healthcare Safety Network (NSHN). These data are shared with the N.C. Healthcare‐Associated Infections Prevention Program (HAI Program) within N.C. DPH through an agreement with hospitals that satisfies the reporting requirements of the N.C law. Infections should be reported within 30 days following the end of the month in which they are identified. Additionally, the denominator data such as the number of central line days, catheter days, abdominal hysterectomies, and colon surgeries must also be reported. The N.C. HAI Program works with hospitals on a monthly basis to reconcile their data. At the beginning of each month, a reconciliation report is generated and shared with each hospital. Hospitals are given 30 days from the receipt of the reconciliation report to review and update any errors in NHSN. All data in NHSN are entered and modified by hospitals; the N.C. HAI Program cannot change data in NHSN. To learn more about CLABSIs, CAUTIs, and SSIs, please visit the N.C. Healthcare‐Associated Infections – Facts & Figures website at http://epi.publichealth.nc.gov/cd/hai/figures.html. In addition to information about specific infections, there is a link to the October 2012 Quarterly Report, which contains background information on HAI surveillance in N.C. and detailed information on statistics commonly used to describe and summarize HAIs. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013 2 II. Overview of the Hospital‐Specific Summary Reports The following pages are the hospital‐specific summary reports for healthcare‐associated infections that acute care hospitals reported from January to June, 2012. Data in this report were downloaded from NHSN on December 27, 2012; any changes made to the January‐June data after this date are not reflected in this report. Before reviewing the hospital‐specific summary reports, please read this section which contains helpful information and explanations. Each hospital has a one‐page summary that contains five sections: 1) general hospital information, 2) central line‐associated bloodstream infections (CLABSI), 3) catheter associated urinary tract infections (CAUTI), 4) surgical site infections (SSI), and 5) commentary from the hospital. These sections are described in detail below. Before elaborating on each section, two clarifications about the data need to be made: 1. The data are preliminary. Although efforts were made by hospitals and the N.C. HAI Prevention Program to ensure that the data were accurate and complete, a formal validation of the data has not been performed. Data validation is a process by which data from hospitals are carefully reviewed to ensure that they meet established criteria and standards for reporting. If these criteria and standards are not met, over‐reporting or under‐reporting of infections, device (i.e., central line, catheter) days, and procedures can occur giving a distorted presentation of what is occurring in the hospital. Until data validation is completed, data are preliminary and should be interpreted with caution. Collaboration with partners is anticipated in the coming year to discuss data validation options. 2. The rates of infections are not included in some places. Approximately 25% of reporting hospitals in N.C. are small hospitals with less than 100 beds. These hospitals are likely to have low numbers of denominator data ‐ central line days, catheter days, and surgeries. Calculating rates with small numbers in the denominator can be misleading. Therefore the N.C. HAI Program chose to present only the actual number of infections for units, hospitals, and/or surgeries that did not meet a minimum threshold value for the reporting period; rates are not presented. The minimum threshold numbers for the reporting period are based on CDC recommendations for reporting healthcare‐associated infection data. Central line‐associated bloodstream infections: 50 central line days Catheter‐associated urinary tract infections: 50 catheter days Surgical site infections: 20 surgeries Section Overview Tables and figures from hospital‐specific summary reports have been included in the following sections to provide a pictorial representation of data. These tables and figures do not represent one single hospital and are used as examples to highlight key points. Section 1 – General Hospital Information This section contains general information about the hospital and includes a map of where the hospital (blue “H” icon) is located in N.C. Data in this section are from the NSHN 2011 Annual Hospital Survey. The surveys are completed once a year; the 2012 Annual Hospital Survey will be completed by hospitals in 2013. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013 3 Section 2 – Central line‐associated bloodstream infections (CLABSI) This section of the report includes a table and figure about CLABSIs. CLABSIs are only reported from adult, pediatric, and neonatal intensive care units (ICU) in acute care hospitals. Table 1 summarizes the number of infections, central line days, rates, predicted infections, standardized infection ratios (SIR) and corresponding 95% confidence intervals (95% CI) with interpretation by type of ICU. There may be more than one reporting ICU unit for a given classification of ICU. At the bottom of table is the “YTD Total for Reporting ICUs” that summarizes the year‐to‐date total for the reporting ICUs in the hospital. 1. The rate is the number of CLABSIs divided by the number of central line days multiplied by 1,000 to get “per 1,000 central line days.” If the minimum threshold number of 50 central line days is not met then rates and additional statistics are not calculated. In Table 1, the medical/surgical unit at the hospital only has 28 central line days and therefore the rate, predicted infections, SIR, 95% CI and interpretation are not presented. 2. The predicted number of infections is calculated using CLABSI rates from a standard population during a baseline time period. For CLABSI, the predicted number of infections is based on 2006‐ 2008 NSHN national data. Detailed information on how the predicted number of infections is calculated can be found in the October 2012 Quarterly Report at http://epi.publichealth.nc.gov/cd/hai/figures/hai_oct2012.pdf. 3. The standardized infection ratio (SIR) is calculated by dividing the observed number of infections by the predicted number of infections. An SIR of 1.0 indicates that the number of observed and predicted infections is the same. If the SIR is greater than 1.0, the number of observed infections is greater than the number of predicted infections. If the SIR is less than 1.0, the number of observed infections is less than the number of predicted infections. If the number of predicted infections is less than 1, the SIR is not calculated because the number of central line days is too low to calculate a precise SIR and 95% CI. For example, in Table 1 the predicted NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013 4 number of infections in the pediatric medical/surgical unit is 0.216; therefore the SIR and corresponding 95% CI with interpretation are not presented. 4. The 95% confidence interval (CI) corresponds to the SIR presented in the table. When the number of infections is 0, the lower bound of the 95% CI is not calculated. The 95% CI is a measure of precision; a wide confidence interval indicates an imprecise estimate of the SIR. The 95% CI can also be used for hypothesis testing ‐ that there are no differences in the numbers of observed and predicted infections. If the 95% CI includes the value of 1, then there is no statistically significant difference between the numbers of observed and predicted infections. However, if the 95% CI does not include the value of 1, then there is a statistically significant difference in the number of observed and predicted infections. 5. The column “Interpretation” details the results of the hypothesis testing. If the interpretation is the “Same” then there is no statistically significant difference between the numbers of observed and predicted infections in a unit (or hospital). If the interpretation is “Higher” than the observed number of infections in a unit (or hospital) is significantly higher than predicted. Finally, if the interpretation is “Lower” than the observed number of infections in a unit (or hospital) is significantly lower than predicted. Figure 1 shows the hospital CLABSI rate along with the CLABSI rates of similarly‐sized hospitals and all hospitals in N.C. The categories for “Similarly‐sized Hospitals” are based on total hospital bed counts: less than 100 beds, 100‐199 beds, 200‐399 beds, and 400+ beds. Hospitals that serve as the primary location for medical schools are included in a separate category (primary medical school affiliation). A list of the hospitals in each category can be found in Appendix B. The CLABSI rate for similarly‐sized hospitals was calculated by dividing the sum of all CLABSIs in a category by the sum of all central line days in the same category and multiplying by 1,000. The CLABSI rate for all hospitals in N.C. was calculated by dividing the sum of all CLABSIs in N.C. by the sum of all central line days in N.C and multiplying by 1,000. In addition to the rates, the lower limit and upper limit of the 95% confidence intervals are presented in the figure. In Figure 1, the CLABSI rate in the hospital appears to be lower than that of similarly‐sized hospitals and all hospitals in NC. To test the hypothesis that there are no differences in the hospital rate from NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013 5 similarly‐sized hospitals or all hospitals in N.C., the 95% CIs are examined. If the 95% CIs of two CLABSI rates overlap, then the observed differences in the CLABSI rates are not considered statistically significantly different. However, if the 95% CIs of two CLABSI rates do not overlap, then the CLABSI rates are considered to be statistically significantly different. Note that the 95% CI for the CLABSI rates (Figure 1) are used to test a different hypothesis than the 95% CI for CLABSI SIRs (Table 1). In the example show in Figure 1, the 95% CI of the hospital CLABSI rate is wide and overlaps with the 95% CIs of both similarly‐sized hospitals and all hospitals in NC. Therefore, the conclusion would be that there is no statistically significant difference in the hospital CLABSI rate compared to the CLABSI rate of similarly‐sized hospitals or all hospitals in NC. Section 3 – Catheter associated urinary tract infections (CAUTI) Like the section on CLABSIs, this section includes a table and figure about catheter‐associated urinary tract infections (CAUTI). CAUTIs are only reported from adult and pediatric ICUs in acute care hospitals. The calculations of the statistics in this section are the same as those presented in “Section 2 ‐ Central line‐associated bloodstream infections (CLABSI)”; please refer to that section for more information. The one difference is that the number of predicted CAUTIs is based on the 2009 aggregated NHSN national data. In the example above (Table 2), the hospital CAUTI rate was 0 per 1,000 catheter‐days. The accompanying Figure 2 below displays that the 95% CI is not presented when the rate is 0. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013 6 Section 4 – Surgical site infections (SSI) This section includes a table and two figures about SSIs. Hospitals are required to report SSIs that occur among adults 18 years or older following inpatient abdominal hysterectomies and colon surgeries. Only SSIs that occur at the primary incision site within 30 days of surgery are included in this report. Infections are not included if they occur later or if they involve only the skin or subcutaneous tissue (the layer of tissue directly under the skin). Finally, if patient age or the American Society of Anesthesiologists (ASA) score are missing for a surgery, it is classified as an “incomplete procedure” and not included in the final count of surgeries. The predicted number of SSIs and the SSI SIRs are calculated differently from CLABSI and CAUTI. Details on these calculations can be found in the October 2012 Quarterly Report at http://epi.publichealth.nc.gov/cd/hai/figures/hai_oct2012.pdf. Similar to CLABSI, the baseline period for the calculation of predicted SSIs is the 2006‐2008 NHSN national data. Finally, the SSI SIRs are adjusted for patient age and ASA score. Recall that if the number of procedures (or central line days for CLABSIs or catheter days for CAUTIs) at a hospital does not meet a minimum threshold number, the number of infections and surgeries would be presented but not the rate. For SSIs, the minimum threshold is 20 surgeries for a reporting period. In the example above (Table 3), there were less than 20 abdominal NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013 7 hysterectomies performed. Therefore, the SSI rate for abdominal hysterectomy was not included in the table. In the accompanying Figure 3, the hospital SSI rate and 95% CI are not presented. Section 5 – Commentary from Hospital This section is an opportunity for hospitals to comment on HAIs and infection control activities in their hospital. There is a 690 character limit (including spaces) therefore hospitals may have chosen to provide a link to their hospital website to provide lengthier comments. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013 8 III. Hospital‐Specific Summary Reports Hospital Type: Acute Care Hospital Medical Affiliation: Limited Profit Status: Not for Profit Admissions in 2011: 4,691 Patient Days in 2011: 19,027 Number of Beds: 110 Number of ICU Beds: 10 Infection Preventionists: 1 Medical/surgical 1 405 2.47 0.608 . YTD Total for Reporting ICUs 1 405 2.47 0.608 . Type of ICU Infections Days Rate SIR 95% CI Interpretation Line Predicted Infections Medical/surgical 0 687 0 0.893 . YTD Total for Reporting ICUs 0 687 0 0.893 . Type of ICU Infections Days Rate SIR 95% CI Interpretation Catheter Predicted Infections ARHS-Watauga Medical Center, Boone, Watauga County Abdominal hysterectomy Colon surgery Infections* 0 0 Procedures 5 15 Rate . . Predicted Infections . . SIR** . . 95% CI** Interpretation No comments provided. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days and SIR not presented. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2009. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days and SIR not presented. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Rates and SIRs by Surgery, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. *Infections from deep incisional and/or organ space. **SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 100 inpatient surgeries. Rate not calculated if less than 20 inpatient surgeries were performed and SIR not presented. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 9 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 2 Patient Days in 2011: 46,125 Number of Beds: 238 Number of ICU Beds: 32 Infection Preventionists: 1 Medical/surgical 2 1,260 1.59 1.89 1.058 0.128, 3.823 Same Neonatal Level II/III 0 8 . . . YTD Total for Reporting ICUs 2 1,268 1.58 1.9 1.053 0.127, 3.802 Same Type of ICU Infections Days Rate SIR 95% CI Interpretation Line Predicted Infections Medical/surgical 6 1,512 3.97 1.814 3.308 1.214, 7.199 Higher YTD Total for Reporting ICUs 6 1,512 3.97 1.814 3.308 1.214, 7.199 Higher Type of ICU Infections Days Rate SIR 95% CI Interpretation Catheter Predicted Infections Alamance Regional Medical Center, Burlington, Alamance County Abdominal hysterectomy Colon surgery Infections* 0 0 Procedures 98 60 Rate 0 0 Predicted Infections 1.01 1.89 SIR** 0 0 95% CI** , 3.667 , 1.956 Interpretation Same Same No comments provided. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days and SIR not presented. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2009. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days and SIR not presented. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Rates and SIRs by Surgery, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. *Infections from deep incisional and/or organ space. **SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 100 inpatient surgeries. Rate not calculated if less than 20 inpatient surgeries were performed and SIR not presented. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 10 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 5,780 Patient Days in 2011: 22,562 Number of Beds: 134 Number of ICU Beds: 9 Infection Preventionists: 1 Medical/surgical 0 384 0 0.576 . YTD Total for Reporting ICUs 0 384 0 0.576 . Type of ICU Infections Days Rate SIR 95% CI Interpretation Line Predicted Infections Medical/surgical 1 659 1.52 0.857 . YTD Total for Reporting ICUs 1 659 1.52 0.857 . Type of ICU Infections Days Rate SIR 95% CI Interpretation Catheter Predicted Infections Albemarle Health Authority, Elizabeth City, Pasquotank County Abdominal hysterectomy Colon surgery Infections* 1 1 Procedures 36 40 Rate 2.78 2.5 Predicted Infections 0.40 1.34 SIR** . 0.746 95% CI** 0.019, 4.155 Interpretation Same No comments provided. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days and SIR not presented. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2009. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days and SIR not presented. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Rates and SIRs by Surgery, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. *Infections from deep incisional and/or organ space. **SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 100 inpatient surgeries. Rate not calculated if less than 20 inpatient surgeries were performed and SIR not presented. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 11 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 3,063 Patient Days in 2011: 13,704 Number of Beds: 78 Number of ICU Beds: 12 Infection Preventionists: 1 Medical/surgical 0 197 0 0.296 . YTD Total for Reporting ICUs 0 197 0 0.296 . Type of ICU Infections Days Rate SIR 95% CI Interpretation Line Predicted Infections Medical/surgical 1 579 1.73 0.753 . YTD Total for Reporting ICUs 1 579 1.73 0.753 . Type of ICU Infections Days Rate SIR 95% CI Interpretation Catheter Predicted Infections Annie Penn Hospital, Reidsville, Rockingham County Abdominal hysterectomy Colon surgery Infections* 0 1 Procedures 7 16 Rate . . Predicted Infections . . SIR** . . 95% CI** Interpretation No comments provided. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days and SIR not presented. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2009. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days and SIR not presented. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Rates and SIRs by Surgery, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. *Infections from deep incisional and/or organ space. **SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 100 inpatient surgeries. Rate not calculated if less than 20 inpatient surgeries were performed and SIR not presented. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 12 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 721 Patient Days in 2011: 2,186 Number of Beds: 30 Number of ICU Beds: 0 Infection Preventionists: 1 Anson Community Hospital, Wadesboro, Anson County Abdominal hysterectomy Colon surgery Infections* 0 0 Procedures 0 1 Rate . . Predicted Infections . . SIR** . . 95% CI** Interpretation No comments provided. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals This hospital does not have any reporting intensive care units (ICUs). Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals This hospital does not have any reporting intensive care units (ICUs). Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Rates and SIRs by Surgery, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. *Infections from deep incisional and/or organ space. **SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 100 inpatient surgeries. Rate not calculated if less than 20 inpatient surgeries were performed and SIR not presented. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 13 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 7,306 Patient Days in 2011: 27,411 Number of Beds: 101 Number of ICU Beds: 6 Infection Preventionists: 1 Medical/surgical 0 321 0 0.482 . YTD Total for Reporting ICUs 0 321 0 0.482 . Type of ICU Infections Days Rate SIR 95% CI Interpretation Line Predicted Infections Medical/surgical 0 666 0 0.866 . YTD Total for Reporting ICUs 0 666 0 0.866 . Type of ICU Infections Days Rate SIR 95% CI Interpretation Catheter Predicted Infections Betsy Johnson Regional, Dunn, Harnett County Abdominal hysterectomy Colon surgery Infections* 0 0 Procedures 29 13 Rate 0 . Predicted Infections 0.36 . SIR** . . 95% CI** Interpretation No comments provided. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days and SIR not presented. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2009. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days and SIR not presented. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Rates and SIRs by Surgery, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. *Infections from deep incisional and/or organ space. **SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 100 inpatient surgeries. Rate not calculated if less than 20 inpatient surgeries were performed and SIR not presented. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 14 Hospital Type: Acute Care Hospital Medical Affiliation: Graduate Profit Status: Not for Profit Admissions in 2011: 2,057 Patient Days in 2011: 8,501 Number of Beds: 131 Number of ICU Beds: 10 Infection Preventionists: 1 Medical 0 127 0 0.241 . YTD Total for Reporting ICUs 0 127 0 0.241 . Type of ICU Infections Days Rate SIR 95% CI Interpretation Line Predicted Infections Medical 0 409 0 0.818 . YTD Total for Reporting ICUs 0 409 0 0.818 . Type of ICU Infections Days Rate SIR 95% CI Interpretation Catheter Predicted Infections Blue Ridge Healthcare Hospitals - Valdese Campus, Valdese, Burke County Abdominal hysterectomy Colon surgery Infections* 0 0 Procedures 0 33 Rate . 0 Predicted Infections . 1.00 SIR** . . 95% CI** Interpretation The prevention and reduction of healthcare associated infections is a top priority at Blue Ridge Healthcare Hospitals Valdese. To accomplish this, infection prevention strategies are continually assessed and measures implemented to decrease the risk for infection. These measures are based on evidence based practices and clinical guidelines. A comprehensive program is provided that encompasses patient care and patient safety. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days and SIR not presented. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2009. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days and SIR not presented. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Rates and SIRs by Surgery, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. *Infections from deep incisional and/or organ space. **SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 100 inpatient surgeries. Rate not calculated if less than 20 inpatient surgeries were performed and SIR not presented. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 15 Hospital Type: Acute Care Hospital Medical Affiliation: Graduate Profit Status: Not for Profit Admissions in 2011: 5,931 Patient Days in 2011: 23,517 Number of Beds: 184 Number of ICU Beds: 10 Infection Preventionists: 1 Medical 0 197 0 0.374 . YTD Total for Reporting ICUs 0 197 0 0.374 . Type of ICU Infections Days Rate SIR 95% CI Interpretation Line Predicted Infections Medical 0 676 0 1.352 0 , 2.728 Same YTD Total for Reporting ICUs 0 676 0 1.352 0 , 2.728 Same Type of ICU Infections Days Rate SIR 95% CI Interpretation Catheter Predicted Infections Blue Ridge Healthcare Hospitals, Inc. - Morganton Campus, Morganton, Burke County Abdominal hysterectomy Colon surgery Infections* 0 0 Procedures 10 20 Rate . 0 Predicted Infections . 0.60 SIR** . . 95% CI** Interpretation The prevention and reduction of healthcare associated infections is a top priority at Blue Ridge Healthcare Hospitals Morganton. To accomplish this, infection prevention strategies are continually assessed and measures implemented to decrease the risk for infection. These measures are based on evidence based practices and clinical guidelines. A comprehensive program is provided that encompasses patient care and patient safety. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days and SIR not presented. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2009. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days and SIR not presented. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Rates and SIRs by Surgery, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. *Infections from deep incisional and/or organ space. **SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 100 inpatient surgeries. Rate not calculated if less than 20 inpatient surgeries were performed and SIR not presented. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 16 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 2,183 Patient Days in 2011: 6,661 Number of Beds: 46 Number of ICU Beds: 8 Infection Preventionists: 1 Medical cardiac 0 61 0 0.122 . YTD Total for Reporting ICUs 0 61 0 0.122 . Type of ICU Infections Days Rate SIR 95% CI Interpretation Line Predicted Infections Medical cardiac 1 201 4.98 0.402 . YTD Total for Reporting ICUs 1 201 4.98 0.402 . Type of ICU Infections Days Rate SIR 95% CI Interpretation Catheter Predicted Infections Blue Ridge Regional Hospital, Spruce Pine, Mitchell County Abdominal hysterectomy Colon surgery Infections* 0 0 Procedures 2 3 Rate . . Predicted Infections . . SIR** . . 95% CI** Interpretation No comments provided. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days and SIR not presented. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2009. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days and SIR not presented. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Rates and SIRs by Surgery, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. *Infections from deep incisional and/or organ space. **SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 100 inpatient surgeries. Rate not calculated if less than 20 inpatient surgeries were performed and SIR not presented. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 17 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 3,640 Patient Days in 2011: 11,920 Number of Beds: 60 Number of ICU Beds: 5 Infection Preventionists: 1 Medical 0 167 0 0.317 . YTD Total for Reporting ICUs 0 167 0 0.317 . Type of ICU Infections Days Rate SIR 95% CI Interpretation Line Predicted Infections Medical 0 419 0 0.838 . YTD Total for Reporting ICUs 0 419 0 0.838 . Type of ICU Infections Days Rate SIR 95% CI Interpretation Catheter Predicted Infections Brunswick Community Hospital, Supply, Brunswick County Abdominal hysterectomy Colon surgery Infections* 0 2 Procedures 11 33 Rate . 6.06 Predicted Infections . 1.00 SIR** . 1.994 95% CI** 0.241, 7.203 Interpretation Same No comments provided. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days and SIR not presented. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2009. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days and SIR not presented. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Rates and SIRs by Surgery, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. *Infections from deep incisional and/or organ space. **SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 100 inpatient surgeries. Rate not calculated if less than 20 inpatient surgeries were performed and SIR not presented. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 18 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 4,060 Patient Days in 2011: 18,281 Number of Beds: 110 Number of ICU Beds: 10 Infection Preventionists: 1 Medical/surgical 0 830 0 1.245 0 , 2.963 Same YTD Total for Reporting ICUs 0 830 0 1.245 0 , 2.963 Same Type of ICU Infections Days Rate SIR 95% CI Interpretation Line Predicted Infections Medical/surgical 1 1,107 0.9 1.439 0.695 0.018, 3.872 Same YTD Total for Reporting ICUs 1 1,107 0.9 1.439 0.695 0.018, 3.872 Same Type of ICU Infections Days Rate SIR 95% CI Interpretation Catheter Predicted Infections Caldwell Memorial Hospital, Lenoir, Caldwell County Abdominal hysterectomy Colon surgery Infections* 0 0 Procedures 1 10 Rate . . Predicted Infections . . SIR** . . 95% CI** Interpretation No comments provided. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days and SIR not presented. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2009. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days and SIR not presented. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Rates and SIRs by Surgery, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. *Infections from deep incisional and/or organ space. **SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 100 inpatient surgeries. Rate not calculated if less than 20 inpatient surgeries were performed and SIR not presented. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 19 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 29,287 Patient Days in 2011: 155,939 Number of Beds: 535 Number of ICU Beds: 90 Infection Preventionists: 4 Medical/surgical 2 2,752 0.73 4.128 0.484 0.059, 1.750 Same Neonatal Level II/III 1 522 1.92 1.582 0.632 0.016, 3.522 Same Pediatric medical/surgical 0 180 0 0.54 . Surgical cardiothoracic 1 1,159 0.86 1.623 0.616 0.016, 3.433 Same YTD Total for Reporting ICUs 4 4,613 0.87 7.873 0.508 0.138, 1.301 Same Type of ICU Infections Days Rate SIR 95% CI Interpretation Line Predicted Infections Medical/surgical 6 3,662 1.64 4.761 1.26 0.462, 2.743 Same Pediatric medical/surgical 0 158 0 0.442 . Surgical cardiothoracic 2 1,249 1.6 2.123 0.942 0.114, 3.403 Same YTD Total for Reporting ICUs 8 5,069 1.58 7.326 1.092 0.471, 2.152 Same Type of ICU Infections Days Rate SIR 95% CI Interpretation Catheter Predicted Infections Cape Fear Valley Health System, Fayetteville, Cumberland County Abdominal hysterectomy Colon surgery Infections* 1 1 Procedures 123 140 Rate 0.81 0.71 Predicted Infections 1.49 4.82 SIR** 0.673 0.208 95% CI** 0.017, 3.749 0.005, 1.157 Interpretation Same Lower No comments provided. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days and SIR not presented. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2009. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days and SIR not presented. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Rates and SIRs by Surgery, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. *Infections from deep incisional and/or organ space. **SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 100 inpatient surgeries. Rate not calculated if less than 20 inpatient surgeries were performed and SIR not presented. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 20 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 15,504 Patient Days in 2011: 66,443 Number of Beds: 350 Number of ICU Beds: 33 Infection Preventionists: 3 Medical 0 153 0 0.291 . Medical/surgical 0 884 0 1.326 0 , 2.782 Same Surgical cardiothoracic 1 327 3.06 0.458 . YTD Total for Reporting ICUs 1 1,364 0.73 2.075 0.482 0.012, 2.685 Same Type of ICU Infections Days Rate SIR 95% CI Interpretation Line Predicted Infections Medical 3 306 9.8 0.612 . Medical/surgical 3 1,315 2.28 1.578 1.901 0.392, 5.556 Same Surgical cardiothoracic 3 326 9.2 0.554 . YTD Total for Reporting ICUs 9 1,947 4.62 2.744 3.28 1.500, 6.226 Higher Type of ICU Infections Days Rate SIR 95% CI Interpretation Catheter Predicted Infections CarolinaEast Medical Center, New Bern, Craven County Abdominal hysterectomy Colon surgery Infections* 1 1 Procedures 59 58 Rate 1.69 1.72 Predicted Infections 0.67 1.82 SIR** . 0.549 95% CI** 0.014, 3.058 Interpretation Same The overall healthcare associated infection rates for CarolinaEast are very low. The data for catheter associated urinary tract infections for this time period is not reflective of the overall Infection Prevention practices for our organization. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days and SIR not presented. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2009. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days and SIR not presented. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Rates and SIRs by Surgery, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. *Infections from deep incisional and/or organ space. **SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 100 inpatient surgeries. Rate not calculated if less than 20 inpatient surgeries were performed and SIR not presented. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 21 Hospital Type: Acute Care Hospital Medical Affiliation: Major Profit Status: Not for Profit Admissions in 2011: 52,282 Patient Days in 2011: 271,498 Number of Beds: 880 Number of ICU Beds: 290 Infection Preventionists: 5 Medical 4 2,431 1.65 6.321 0.633 0.172, 1.620 Same Medical cardiac 3 1,110 2.7 2.22 1.351 0.279, 3.949 Same Neonatal Level III 2 4,242 0.47 10.329 0.194 0.023, 0.699 Lower Neurosurgical 4 1,234 3.24 3.085 1.297 0.353, 3.320 Same Pediatric medical/surgical 1 1,581 0.63 4.743 0.211 0.005, 1.175 Same Surgical cardiothoracic 0 1,073 0 1.502 0 , 2.456 Same Trauma 3 2,615 1.15 9.414 0.319 0.066, 0.931 Lower YTD Total for Reporting ICUs 17 14,286 1.19 37.614 0.452 0.263, 0.724 Lower Type of ICU Infections Days Rate SIR 95% CI Interpretation Line Predicted Infections Medical 11 3,498 3.14 8.045 1.367 0.683, 2.446 Same Medical cardiac 7 1,570 4.46 3.14 2.229 0.896, 4.593 Higher Neurosurgical 20 2,642 7.57 11.625 1.72 1.050, 2.657 Higher Pediatric medical/surgical 3 866 3.46 2.425 1.237 0.255, 3.615 Same Surgical cardiothoracic 2 1,103 1.81 1.875 1.067 0.129, 3.853 Same Trauma 9 3,934 2.29 13.376 0.673 0.308, 1.277 Same YTD Total for Reporting ICUs 52 13,613 3.82 40.486 1.284 0.959, 1.684 Higher Type of ICU Infections Days Rate SIR 95% CI Interpretation Catheter Predicted Infections Carolinas Medical Center, Charlotte, Mecklenburg County Abdominal hysterectomy Colon surgery Infections* 1 5 Procedures 378 240 Rate 0.26 2.08 Predicted Infections 3.40 8.28 SIR** 0.294 0.604 95% CI** 0.007, 1.639 0.196, 1.409 Interpretation Same Same The prevention and reduction of healthcare associated infections is a top priority at Carolinas Healthcare System hospitals. To accomplish this, infection prevention strategies are continually assessed and measures implemented to decrease the risk for infection. These measures are based on evidence based practices and clinical guidelines. A comprehensive program is provided that encompasses patient care and patient safety. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days and SIR not presented. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2009. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days and SIR not presented. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Rates and SIRs by Surgery, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. *Infections from deep incisional and/or organ space. **SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 100 inpatient surgeries. Rate not calculated if less than 20 inpatient surgeries were performed and SIR not presented. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 22 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 4,105 Patient Days in 2011: 17,248 Number of Beds: 101 Number of ICU Beds: 10 Infection Preventionists: 1 Medical/surgical 1 299 3.34 0.449 . YTD Total for Reporting ICUs 1 299 3.34 0.449 . Type of ICU Infections Days Rate SIR 95% CI Interpretation Line Predicted Infections Medical/surgical 0 778 0 1.011 0 , 3.649 Same YTD Total for Reporting ICUs 0 778 0 1.011 0 , 3.649 Same Type of ICU Infections Days Rate SIR 95% CI Interpretation Catheter Predicted Infections Carolinas Medical Center - Lincoln, Lincolnton, Lincoln County Abdominal hysterectomy Colon surgery Infections* 0 1 Procedures 23 6 Rate 0 . Predicted Infections 0.22 . SIR** . . 95% CI** Interpretation The prevention and reduction of healthcare associated infections is a top priority at Carolinas Healthcare System hospitals. To accomplish this, infection prevention strategies are continually assessed and measures implemented to decrease the risk for infection. These measures are based on evidence based practices and clinical guidelines. A comprehensive program is provided that encompasses patient care and patient safety. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days and SIR not presented. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2009. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days and SIR not presented. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Rates and SIRs by Surgery, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. *Infections from deep incisional and/or organ space. **SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 100 inpatient surgeries. Rate not calculated if less than 20 inpatient surgeries were performed and SIR not presented. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 23 Hospital Type: Acute Care Hospital Medical Affiliation: Limited Profit Status: Not for Profit Admissions in 2011: 9,264 Patient Days in 2011: 40,462 Number of Beds: 170 Number of ICU Beds: 30 Infection Preventionists: 1 Medical 1 546 1.83 1.037 0.964 0.024, 5.373 Same Medical cardiac 0 293 0 0.586 . Surgical 2 572 3.5 1.316 1.52 0.184, 5.490 Same YTD Total for Reporting ICUs 3 1,411 2.13 2.939 1.021 0.211, 2.983 Same Type of ICU Infections Days Rate SIR 95% CI Interpretation Line Predicted Infections Medical 0 771 0 1.542 0 , 2.392 Same Medical cardiac 2 455 4.4 0.91 . Surgical 1 655 1.53 1.703 0.587 0.015, 3.272 Same YTD Total for Reporting ICUs 3 1,881 1.59 4.155 0.722 0.149, 2.110 Same Type of ICU Infections Days Rate SIR 95% CI Interpretation Catheter Predicted Infections Carolinas Medical Center- Mercy, Charlotte, Mecklenburg County Abdominal hysterectomy Colon surgery Infections* 0 2 Procedures 31 57 Rate 0 3.51 Predicted Infections 0.24 1.80 SIR** . 1.114 95% CI** 0.135, 4.023 Interpretation Same The prevention and reduction of healthcare associated infections is a top priority at Carolinas Healthcare System hospitals. To accomplish this, infection prevention strategies are continually assessed and measures implemented to decrease the risk for infection. These measures are based on evidence based practices and clinical guidelines. A comprehensive program is provided that encompasses patient care and patient safety. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days and SIR not presented. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2009. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days and SIR not presented. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Rates and SIRs by Surgery, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. *Infections from deep incisional and/or organ space. **SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 100 inpatient surgeries. Rate not calculated if less than 20 inpatient surgeries were performed and SIR not presented. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 24 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 24,746 Patient Days in 2011: 106,692 Number of Beds: 435 Number of ICU Beds: 54 Infection Preventionists: 3 Medical/surgical 2 1,346 1.49 2.019 0.991 0.120, 3.578 Same Neonatal Level III 0 549 0 1.248 0 , 2.956 Same Pediatric medical/surgical 0 62 0 0.186 . Surgical cardiothoracic 0 480 0 0.672 . YTD Total for Reporting ICUs 2 2,437 0.82 4.125 0.485 0.059, 1.751 Same Type of ICU Infections Days Rate SIR 95% CI Interpretation Line Predicted Infections Medical/surgical 5 1,990 2.51 2.587 1.933 0.628, 4.510 Same Pediatric medical/surgical 0 53 0 0.148 . Surgical cardiothoracic 1 851 1.18 1.447 0.691 0.017, 3.850 Same YTD Total for Reporting ICUs 6 2,894 2.07 4.182 1.435 0.527, 3.123 Same Type of ICU Infections Days Rate SIR 95% CI Interpretation Catheter Predicted Infections Carolinas Medical Center - Northeast, Concord, Cabarrus County Abdominal hysterectomy Colon surgery Infections* 1 0 Procedures 176 116 Rate 0.57 0 Predicted Infections 1.67 3.76 SIR** 0.6 0 95% CI** 0.015, 3.340 , 0.980 Interpretation Same Lower The prevention and reduction of healthcare associated infections is a top priority at Carolinas Healthcare System hospitals. To accomplish this, infection prevention strategies are continually assessed and measures implemented to decrease the risk for infection. These measures are based on evidence based practices and clinical guidelines. A comprehensive program is provided that encompasses patient care and patient safety. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days and SIR not presented. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2009. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days and SIR not presented. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Rates and SIRs by Surgery, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. *Infections from deep incisional and/or organ space. **SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 100 inpatient surgeries. Rate not calculated if less than 20 inpatient surgeries were performed and SIR not presented. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 25 Hospital Type: Acute Care Hospital Medical Affiliation: Limited Profit Status: Not for Profit Admissions in 2011: 10,863 Patient Days in 2011: 39,353 Number of Beds: 109 Number of ICU Beds: 8 Infection Preventionists: 1 Medical 1 638 1.57 1.212 0.825 0.021, 4.597 Same Neonatal Level II/III 0 71 0 0.112 . Surgical 0 102 0 0.235 . YTD Total for Reporting ICUs 1 811 1.23 1.559 0.641 0.016, 3.574 Same Type of ICU Infections Days Rate SIR 95% CI Interpretation Line Predicted Infections Medical 2 1,128 1.77 2.256 0.887 0.107, 3.202 Same Surgical 0 86 0 0.224 . YTD Total for Reporting ICUs 2 1,214 1.65 2.48 0.806 0.098, 2.913 Same Type of ICU Infections Days Rate SIR 95% CI Interpretation Catheter Predicted Infections Carolinas Medical Center- Pineville, Charlotte, Mecklenburg County Abdominal hysterectomy Colon surgery Infections* 0 3 Procedures 139 58 Rate 0 5.17 Predicted Infections 1.20 1.84 SIR** 0 1.629 95% CI** , 3.072 0.336, 4.760 Interpretation Same Same The prevention and reduction of healthcare associated infections is a top priority at Carolinas Healthcare System hospitals. To accomplish this, infection prevention strategies are continually assessed and measures implemented to decrease the risk for infection. These measures are based on evidence based practices and clinical guidelines. A comprehensive program is provided that encompasses patient care and patient safety. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days and SIR not presented. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2009. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days and SIR not presented. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Rates and SIRs by Surgery, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. *Infections from deep incisional and/or organ space. **SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 100 inpatient surgeries. Rate not calculated if less than 20 inpatient surgeries were performed and SIR not presented. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 26 Hospital Type: Acute Care Hospital Medical Affiliation: Limited Profit Status: Not for Profit Admissions in 2011: 9,602 Patient Days in 2011: 40,252 Number of Beds: 165 Number of ICU Beds: 14 Infection Preventionists: 2 Medical/surgical 1 673 1.49 1.01 0.99 0.025, 5.516 Same YTD Total for Reporting ICUs 1 673 1.49 1.01 0.99 0.025, 5.516 Same Type of ICU Infections Days Rate SIR 95% CI Interpretation Line Predicted Infections Medical/surgical 0 1,165 0 1.515 0 , 2.435 Same YTD Total for Reporting ICUs 0 1,165 0 1.515 0 , 2.435 Same Type of ICU Infections Days Rate SIR 95% CI Interpretation Catheter Predicted Infections Carolinas Medical Center - Union, Monroe, Union County Abdominal hysterectomy Colon surgery Infections* 1 0 Procedures 39 29 Rate 2.56 0 Predicted Infections 0.35 0.92 SIR** . . 95% CI** Interpretation The prevention and reduction of healthcare associated infections is a top priority at Carolinas Healthcare System hospitals. To accomplish this, infection prevention strategies are continually assessed and measures implemented to decrease the risk for infection. These measures are based on evidence based practices and clinical guidelines. A comprehensive program is provided that encompasses patient care and patient safety. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days and SIR not presented. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2009. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days and SIR not presented. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Rates and SIRs by Surgery, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. *Infections from deep incisional and/or organ space. **SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 100 inpatient surgeries. Rate not calculated if less than 20 inpatient surgeries were performed and SIR not presented. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 27 Hospital Type: Acute Care Hospital Medical Affiliation: Limited Profit Status: Not for Profit Admissions in 2011: 7,399 Patient Days in 2011: 23,883 Number of Beds: 130 Number of ICU Beds: 8 Infection Preventionists: 1 Medical/surgical 0 538 0 0.807 . Neonatal Level II/III 0 42 . . . YTD Total for Reporting ICUs 0 580 0 0.88 . Type of ICU Infections Days Rate SIR 95% CI Interpretation Line Predicted Infections Medical/surgical 4 756 5.29 0.983 . YTD Total for Reporting ICUs 4 756 5.29 0.983 . Type of ICU Infections Days Rate SIR 95% CI Interpretation Catheter Predicted Infections Carolinas Medical Center- University, Charlotte, Mecklenburg County Abdominal hysterectomy Colon surgery Infections* 1 0 Procedures 47 33 Rate 2.13 0 Predicted Infections 0.40 1.07 SIR** . 0 95% CI** , 3.441 Interpretation Same The prevention and reduction of healthcare associated infections is a top priority at Carolinas Healthcare System hospitals. To accomplish this, infection prevention strategies are continually assessed and measures implemented to decrease the risk for infection. These measures are based on evidence based practices and clinical guidelines. A comprehensive program is provided that encompasses patient care and patient safety. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days and SIR not presented. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2009. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days and SIR not presented. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Rates and SIRs by Surgery, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. *Infections from deep incisional and/or organ space. **SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 100 inpatient surgeries. Rate not calculated if less than 20 inpatient surgeries were performed and SIR not presented. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 28 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 6,980 Patient Days in 2011: 24,561 Number of Beds: 135 Number of ICU Beds: 8 Infection Preventionists: 2 Medical/surgical 1 225 4.44 0.338 . YTD Total for Reporting ICUs 1 225 4.44 0.338 . Type of ICU Infections Days Rate SIR 95% CI Interpretation Line Predicted Infections Medical/surgical 1 601 1.66 0.781 . YTD Total for Reporting ICUs 1 601 1.66 0.781 . Type of ICU Infections Days Rate SIR 95% CI Interpretation Catheter Predicted Infections Carteret General Hospital, Morehead City, Carteret County Abdominal hysterectomy Colon surgery Infections* 0 1 Procedures 18 36 Rate . 2.78 Predicted Infections . 1.16 SIR** . 0.861 95% CI** 0.022, 4.799 Interpretation Same No comments provided. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days and SIR not presented. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2009. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days and SIR not presented. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Rates and SIRs by Surgery, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. *Infections from deep incisional and/or organ space. **SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 100 inpatient surgeries. Rate not calculated if less than 20 inpatient surgeries were performed and SIR not presented. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 29 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 11,668 Patient Days in 2011: 48,263 Number of Beds: 200 Number of ICU Beds: 28 Infection Preventionists: 2 Medical/surgical 1 899 1.11 1.349 0.741 0.019, 4.130 Same Neonatal Level II/III 1 335 2.99 0.899 . YTD Total for Reporting ICUs 2 1,234 1.62 2.248 0.89 0.108, 3.214 Same Type of ICU Infections Days Rate SIR 95% CI Interpretation Line Predicted Infections Medical/surgical 2 1,412 1.42 1.694 1.181 0.143, 4.265 Same YTD Total for Reporting ICUs 2 1,412 1.42 1.694 1.181 0.143, 4.265 Same Type of ICU Infections Days Rate SIR 95% CI Interpretation Catheter Predicted Infections Catawba Valley Medical Center, Hickory, Catawba County Abdominal hysterectomy Colon surgery Infections* 0 2 Procedures 42 53 Rate 0 3.77 Predicted Infections 0.39 1.72 SIR** . 1.161 95% CI** 0.141, 4.193 Interpretation Same No comments provided. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days and SIR not presented. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2009. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days and SIR not presented. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Rates and SIRs by Surgery, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. *Infections from deep incisional and/or organ space. **SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 100 inpatient surgeries. Rate not calculated if less than 20 inpatient surgeries were performed and SIR not presented. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 30 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: For Profit Admissions in 2011: 465 Patient Days in 2011: 1,654 Number of Beds: 112 Number of ICU Beds: 8 Infection Preventionists: 1 Medical/surgical 0 484 0 0.726 . YTD Total for Reporting ICUs 0 484 0 0.726 . Type of ICU Infections Days Rate SIR 95% CI Interpretation Line Predicted Infections Medical/surgical 0 557 0 0.724 . YTD Total for Reporting ICUs 0 557 0 0.724 . Type of ICU Infections Days Rate SIR 95% CI Interpretation Catheter Predicted Infections Central Carolina Hospital, Sanford, Lee County Abdominal hysterectomy Colon surgery Infections* 0 0 Procedures 24 33 Rate 0 0 Predicted Infections 0.25 1.04 SIR** . 0 95% CI** , 3.547 Interpretation Same No comments provided. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days and SIR not presented. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2009. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days and SIR not presented. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Rates and SIRs by Surgery, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. *Infections from deep incisional and/or organ space. **SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 100 inpatient surgeries. Rate not calculated if less than 20 inpatient surgeries were performed and SIR not presented. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 31 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 9,772 Patient Days in 2011: 35,345 Number of Beds: 241 Number of ICU Beds: 18 Infection Preventionists: 1 Medical/surgical 0 1,064 0 1.596 0 , 2.311 Same YTD Total for Reporting ICUs 0 1,064 0 1.596 0 , 2.311 Same Type of ICU Infections Days Rate SIR 95% CI Interpretation Line Predicted Infections Medical/surgical 2 1,863 1.07 2.236 0.894 0.108, 3.231 Same YTD Total for Reporting ICUs 2 1,863 1.07 2.236 0.894 0.108, 3.231 Same Type of ICU Infections Days Rate SIR 95% CI Interpretation Catheter Predicted Infections Cleveland Regional Medical Center, Shelby, Cleveland County Abdominal hysterectomy Colon surgery Infections* 1 0 Procedures 37 40 Rate 2.7 0 Predicted Infections 0.48 1.29 SIR** . 0 95% CI** , 2.862 Interpretation Same The prevention and reduction of healthcare associated infections is a top priority at Cleveland County Healthcare System hospitals. To accomplish this, infection prevention strategies are continually assessed and measures implemented to decrease the risk for infection. These measures are based on evidence based practices and clinical guidelines. A comprehensive program is provided that encompasses patient care and patient safety. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days and SIR not presented. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2009. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days and SIR not presented. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Rates and SIRs by Surgery, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. *Infections from deep incisional and/or organ space. **SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 100 inpatient surgeries. Rate not calculated if less than 20 inpatient surgeries were performed and SIR not presented. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 32 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 5,759 Patient Days in 2011: 23,894 Number of Beds: 107 Number of ICU Beds: 10 Infection Preventionists: 1 Medical/surgical 0 225 0 0.338 . YTD Total for Reporting ICUs 0 225 0 0.338 . Type of ICU Infections Days Rate SIR 95% CI Interpretation Line Predicted Infections Medical/surgical 0 470 0 0.611 . YTD Total for Reporting ICUs 0 470 0 0.611 . Type of ICU Infections Days Rate SIR 95% CI Interpretation Catheter Predicted Infections Columbus Regional Healthcare System, Whiteville, Columbus County Abdominal hysterectomy Colon surgery Infections* 1 0 Procedures 38 28 Rate 2.63 0 Predicted Infections 0.37 0.96 SIR** . . 95% CI** Interpretation The prevention and reduction of healthcare associated infections is a top priority at Columbus Regional Healthcare System. To accomplish this, infection prevention strategies are continually assessed and measures implemented to decrease the risk for infection. These measures are based on evidence based practices and clinical guidelines. A comprehensive program is provided that encompasses patient care and patient safety. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days and SIR not presented. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2009. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days and SIR not presented. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Rates and SIRs by Surgery, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. *Infections from deep incisional and/or organ space. **SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 100 inpatient surgeries. Rate not calculated if less than 20 inpatient surgeries were performed and SIR not presented. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 33 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: For Profit Admissions in 2011: 4,453 Patient Days in 2011: 22,936 Number of Beds: 143 Number of ICU Beds: 8 Infection Preventionists: 1 Medical cardiac 1 264 3.79 0.528 . YTD Total for Reporting ICUs 1 264 3.79 0.528 . Type of ICU Infections Days Rate SIR 95% CI Interpretation Line Predicted Infections Medical cardiac 1 549 1.82 1.098 0.911 0.023, 5.074 Same YTD Total for Reporting ICUs 1 549 1.82 1.098 0.911 0.023, 5.074 Same Type of ICU Infections Days Rate SIR 95% CI Interpretation Catheter Predicted Infections Davis Regional Medical Center, Statesville, Iredell County Abdominal hysterectomy Colon surgery Infections* 1 1 Procedures 4 9 Rate . . Predicted Infections . . SIR** . . 95% CI** Interpretation No comments provided. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days and SIR not presented. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2009. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days and SIR not presented. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Rates and SIRs by Surgery, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. *Infections from deep incisional and/or organ space. **SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 100 inpatient surgeries. Rate not calculated if less than 20 inpatient surgeries were performed and SIR not presented. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 34 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 7,238 Patient Days in 2011: 36,751 Number of Beds: 148 Number of ICU Beds: 15 Infection Preventionists: 2 Medical/surgical 0 736 0 1.104 0 , 3.341 Same YTD Total for Reporting ICUs 0 736 0 1.104 0 , 3.341 Same Type of ICU Infections Days Rate SIR 95% CI Interpretation Line Predicted Infections Medical/surgical 3 1,237 2.43 1.608 1.866 0.385, 5.452 Same YTD Total for Reporting ICUs 3 1,237 2.43 1.608 1.866 0.385, 5.452 Same Type of ICU Infections Days Rate SIR 95% CI Interpretation Catheter Predicted Infections Duke Raleigh Hospital, Raleigh, Wake County Abdominal hysterectomy Colon surgery Infections* 0 2 Procedures 47 77 Rate 0 2.6 Predicted Infections 0.39 2.57 SIR** . 0.777 95% CI** 0.094, 2.807 Interpretation Same No comments provided. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days and SIR not presented. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2009. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days and SIR not presented. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Rates and SIRs by Surgery, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. *Infections from deep incisional and/or organ space. **SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 100 inpatient surgeries. Rate not calculated if less than 20 inpatient surgeries were performed and SIR not presented. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 35 Hospital Type: Acute Care Hospital Medical Affiliation: Major Profit Status: Not for Profit Admissions in 2011: 31,508 Patient Days in 2011: 246,858 Number of Beds: 812 Number of ICU Beds: 196 Infection Preventionists: 6 Medical 3 2,090 1.44 5.434 0.552 0.114, 1.613 Same Medical cardiac 2 1,515 1.32 3.03 0.66 0.080, 2.384 Same Neonatal Level III 1 3,245 0.31 8.684 0.115 0.003, 0.642 Lower Neurologic 2 1,333 1.5 1.866 1.072 0.130, 3.872 Same Pediatric cardiothoracic 1 1,548 0.65 5.108 0.196 0.005, 1.091 Lower Pediatric medical/surgical 3 1,189 2.52 3.567 0.841 0.173, 2.458 Same Surgical 1 1,543 0.65 3.549 0.282 0.007, 1.570 Same Surgical cardiothoracic 7 2,302 3.04 3.223 2.172 0.873, 4.475 Higher YTD Total for Reporting ICUs 20 14,765 1.35 34.462 0.58 0.354, 0.896 Lower Type of ICU Infections Days Rate SIR 95% CI Interpretation Line Predicted Infections Medical 5 2,075 2.41 4.773 1.048 0.340, 2.445 Same Medical cardiac 5 1,314 3.81 2.628 1.903 0.618, 4.440 Same Neurologic 8 2,225 3.6 8.455 0.946 0.408, 1.864 Same Pediatric cardiothoracic 1 481 2.08 1.299 0.77 0.019, 4.289 Same Pediatric medical/surgical 2 863 2.32 2.416 0.828 0.100, 2.990 Same Surgical 8 1,758 4.55 4.571 1.75 0.756, 3.449 Same Surgical cardiothoracic 4 2,015 1.99 3.426 1.168 0.318, 2.989 Same YTD Total for Reporting ICUs 33 10,731 3.08 27.567 1.197 0.824, 1.681 Same Type of ICU Infections Days Rate SIR 95% CI Interpretation Catheter Predicted Infections Duke University Hospital, Durham, Durham County Abdominal hysterectomy Colon surgery Infections* 0 2 Procedures 179 120 Rate 0 1.67 Predicted Infections 1.66 3.97 SIR** 0 0.504 95% CI** , 2.229 0.061, 1.820 Interpretation Same Same No comments provided. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days and SIR not presented. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2009. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days and SIR not presented. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Rates and SIRs by Surgery, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. *Infections from deep incisional and/or organ space. **SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 100 inpatient surgeries. Rate not calculated if less than 20 inpatient surgeries were performed and SIR not presented. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 36 Hospital Type: Acute Care Hospital Medical Affiliation: Major Profit Status: Not for Profit Admissions in 2011: 13,891 Patient Days in 2011: 73,575 Number of Beds: 202 Number of ICU Beds: 23 Infection Preventionists: 3 Medical/surgical 1 1,667 0.6 3.501 0.286 0.007, 1.591 Same YTD Total for Reporting ICUs 1 1,667 0.6 3.501 0.286 0.007, 1.591 Same Type of ICU Infections Days Rate SIR 95% CI Interpretation Line Predicted Infections Medical/surgical 8 1,843 4.34 4.239 1.887 0.815, 3.719 Same YTD Total for Reporting ICUs 8 1,843 4.34 4.239 1.887 0.815, 3.719 Same Type of ICU Infections Days Rate SIR 95% CI Interpretation Catheter Predicted Infections Durham Regional Hospital, Durham, Durham County Abdominal hysterectomy Colon surgery Infections* 2 1 Procedures 151 61 Rate 1.32 1.64 Predicted Infections 1.28 1.90 SIR** 1.566 0.525 95% CI** 0.190, 5.658 0.013, 2.928 Interpretation Same Same No comments provided. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days and SIR not presented. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2009. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days and SIR not presented. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Rates and SIRs by Surgery, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. *Infections from deep incisional and/or organ space. **SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 100 inpatient surgeries. Rate not calculated if less than 20 inpatient surgeries were performed and SIR not presented. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 37 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 26,995 Patient Days in 2011: 108,631 Number of Beds: 528 Number of ICU Beds: 69 Infection Preventionists: 4 Medical cardiac 0 450 0 0.9 . Medical/surgical 0 1,182 0 1.773 0 , 2.081 Same Neonatal Level III 0 110 0 0.193 . Surgical cardiothoracic 0 625 0 0.875 . YTD Total for Reporting ICUs 0 2,367 0 3.741 0 , 0.986 Lower Type of ICU Infections Days Rate SIR 95% CI Interpretation Line Predicted Infections Medical cardiac 1 720 1.39 1.44 0.694 0.018, 3.869 Same Medical/surgical 2 1,853 1.08 2.231 0.896 0.109, 3.238 Same Surgical cardiothoracic 1 764 1.31 1.299 0.77 0.019, 4.289 Same YTD Total for Reporting ICUs 4 3,337 1.2 4.97 0.805 0.219, 2.061 Same Type of ICU Infections Days Rate SIR 95% CI Interpretation Catheter Predicted Infections FirstHealth Moore Regional Hospital, Pinehurst, Moore County Abdominal hysterectomy Colon surgery Infections* 1 1 Procedures 35 75 Rate 2.86 1.33 Predicted Infections 0.26 2.20 SIR** . 0.455 95% CI** 0.012, 2.535 Interpretation Same Over the past year, FirstHealth has strived to continue to reduce our infections by continuing to educate staff on infection prevention, emphasizing hand hygiene, and following all evidence based practices to reduce infections. We have worked to decrease use of urinary catheters and worked with our operating room to assure all measures are taken to prevent surgical site infections such as appropriate use of antibiotics. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days and SIR not presented. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2009. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days and SIR not presented. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Rates and SIRs by Surgery, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. *Infections from deep incisional and/or organ space. **SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 100 inpatient surgeries. Rate not calculated if less than 20 inpatient surgeries were performed and SIR not presented. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 38 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 45,261 Patient Days in 2011: 232,937 Number of Beds: 906 Number of ICU Beds: 130 Infection Preventionists: 6 Medical 0 53 0 0.101 . Medical cardiac 0 1,160 0 2.32 0 , 1.590 Same Medical/surgical 5 3,471 1.44 5.207 0.96 0.312, 2.241 Same Neonatal Level II/III 2 1,187 1.68 3.467 0.577 0.070, 2.084 Same Neurosurgical 0 478 0 1.195 0 , 3.087 Same Surgical cardiothoracic 1 686 1.46 0.96 . YTD Total for Reporting ICUs 8 7,035 1.14 13.25 0.604 0.261, 1.190 Same Type of ICU Infections Days Rate SIR 95% CI Interpretation Line Predicted Infections Medical 0 107 0 0.214 . Medical cardiac 1 1,546 0.65 3.092 0.323 0.008, 1.802 Same Medical/surgical 9 3,764 2.39 4.517 1.992 0.911, 3.782 Higher Neurosurgical 5 1,028 4.86 4.523 1.105 0.359, 2.580 Same Surgical cardiothoracic 0 783 0 1.331 0 , 2.772 Same YTD Total for Reporting ICUs 15 7,228 2.08 13.677 1.097 0.613, 1.809 Same Type of ICU Infections Days Rate SIR 95% CI Interpretation Catheter Predicted Infections Forsyth Medical Center, Winston Salem, Forsyth County Abdominal hysterectomy Colon surgery Infections* 1 4 Procedures 84 127 Rate 1.19 3.15 Predicted Infections 0.88 4.17 SIR** . 0.959 95% CI** 0.261, 2.454 Interpretation Same No comments provided. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2006-2008. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days and SIR not presented. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Rates and SIRs by ICU Type, Jan-June 2012 in Comparison to National Baseline Data from 2009. * * *SIR, 95%CI = Standardized Infection Ratio and corresponding 95% Confidence Interval. Note: Rate per 1,000 |
OCLC number | 839554526 |